PHOEBE FAMILY MEDICINE,COFFEE COUNTY (NPI# 1477997278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477997278 |
| Entity Type | Organization |
| Organization Name | PHOEBE FAMILY MEDICINE,COFFEE COUNTY |
| Practice Address |
200 Doctors Dr Ste 224 Douglas GA 31533-2201 |
| Mailing Address |
500 W 3rd Ave Ste 101 Albany GA 31701-1985 |
| Practice Telephone | 9123842353 |
| Practice Fax Number | 9123834643 |
| Mailing Telephone | 2293125800 |
| Mailing Fax Number | 2293125853 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Authorized Official Name | ROBERT LAGESSE (SR VP PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 2293121000 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOEBE PHYSICIAN GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
200 DOCTORS DR STE 224 |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374294 | Hemachandran P Nair | Internal Medicine | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2005-08-30 |
| 1760856405 | Crh Physician Practices LLC | General Practice | 200 Doctors Dr, Suite S, Douglas, GA 31533-2201 | 2015-11-18 |
| 1063832731 | Larissa Davis | Nurse Practitioner | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2014-04-22 |
| 1417388687 | Crh Physician Practices, LLC | Psychiatry & Neurology | 200 Doctors Dr, Suite L, Douglas, GA 31533-2201 | 2013-12-12 |
| 1417396342 | Joi Livingston Rogers | Pediatrics | 200 Doctors Dr, Suite 201, Douglas, GA 31533-2201 | 2013-06-25 |
| 1255682142 | Crh Physician Practices LLC | Pediatrics | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2012-10-02 |
| 1417207796 | Crh Physician Practices LLC | Urology | 200 Doctors Dr, Ste 220, Douglas, GA 31533-2201 | 2012-09-14 |
| 1427305507 | Debra Sharon Luke | Nurse Practitioner | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2012-08-08 |
| 1669745345 | South Georgia Eye Partners PC | Optometrist | 200 Doctors Dr, Suite 290, Douglas, GA 31533-2201 | 2012-02-11 |
| 1467724740 | Costrini & Meadows, PC | Internal Medicine | 200 Doctors Dr, Suite 112, Douglas, GA 31533-2201 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790182871 | Bisbee Hospital Association | Clinic/Center | 100 E 5th St, Douglas, AZ 85607-2859 | 2014-12-04 |
| 1992999205 | Coffee Regional Medical Center | Clinic/Center | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2007-08-29 |
| 1942217088 | Copper Queen Medical Associates Douglas | Clinic/Center | 100 E 5th St, Douglas, AZ 85607-2859 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578820 | Pinpoint Covid Testing Inc | Clinic/Center | 3075 Tower Rd Ste A, Columbus, GA 31909-2537 | 2020-11-04 |
| 1194331439 | Shittu Family Practice,llc | Clinic/Center | 11679 Bruce Dr, Hampton, GA 30228-4008 | 2020-09-22 |
| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
| 1164035564 | The Lotus Haven PC | Clinic/Center | 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 | 2020-08-25 |
| 1518585868 | Robin June Dc, LLC | Clinic/Center | 400 Embassy Row Ste 110, Sandy Springs, GA 30328-5723 | 2020-07-13 |
| 1740808773 | All Test Services | Clinic/Center | 575 Sigman Rd Ne, Conyers, GA 30013-1311 | 2020-07-07 |
| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.