Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coffee Family Medicine, PC

Organization Family Medicine Physician · NPI 1265456669

Coffee Family Medicine, PC provides Family Medicine Physician services in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Doctors Dr Ste 224
Douglas, GA 31533-2201 Not confirmed with CMS for 14 years — call before visiting
Phone: (912) 384-2353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 53885 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 004691 (GA)

Record details

NPI number1265456669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lydia Tanner — Physician · (912) 384-2353
NPI enumeratedJuly 27, 2006
Last updated in NPPESJanuary 19, 2012
Mailing address200 Doctors Dr, Suite 224, Douglas, GA 31533-2201

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