Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Doerun Primary Care Clinic LLC

Organization Family Medicine Physician · NPI 1891480653

Doerun Primary Care Clinic LLC provides Family Medicine Physician services in Doerun, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

204 N Broad St
Doerun, GA 31744
Phone: (229) 985-3320
Fax: (229) 890-1282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1891480653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayshree Bhavnani — Cfo · (229) 891-9131
NPI enumeratedApril 7, 2023
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023
Mailing addressPo Box 2876, Moultrie, GA 31776-2876