P Praxis·MD
● Active Type 2 · Organization

Coffee County Center For Digestive Diseases Llc

Clinic/Center·Douglas, GA· NPI 1043411648 · Enumerated 2007 · 18 years on NPI
Coffee County Center For Digestive Diseases Llc is 1 of 602 clinic/center organizations in Georgia.
NPI age
18 years
Enumerated 2007-05-30
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jonnalagadda
Officer
Last NPPES update
2022-05-19
Source: monthly bulk 2026-05

How this organization compares

Across 602 active clinic/center providers in Georgia.

NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
300 Shirley Avenue
Douglas, GA 31533
📞 9123847276fax 9123844353
Mailing address
300 Shirley Avenue
Douglas, GA 31533
📞 9123847276fax 9123844353

Authorized official

Sudhakar Jonnalagadda, MD
Officer
📞 9123847276

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #034-295 taxonomy 261QA1903X

Identifiers

TypeValueNotes
01 (GA) 034-295 STATE PERMIT
05 (GA) 474131643A

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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