P Praxis·MD
● Active Type 2 · Organization

Coffee Family Medicine, Pc

Family Medicine·Douglas, GA· NPI 1265456669 · Enumerated 2006 · 19 years on NPI
Coffee Family Medicine, Pc is 1 of 5448 family medicine organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-27
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tanner
Physician
Last NPPES update
2012-01-19
Source: monthly bulk 2026-05

How this organization compares

Across 5448 active family medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
200 Doctors Dr, Suite 224
Douglas, GA 315332201
📞 9123842353
Mailing address
200 Doctors Dr, Suite 224
Douglas, GA 315332201
📞 9123842353

Authorized official

Lydia Tanner, M.D.
Physician
📞 9123842353

Individual providers at this organization

7 individual providers on file at this primary practice address.

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #53885 taxonomy 207Q00000X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #004691 taxonomy 363A00000X

Practice context

Multi-provider organization. 7 individual providers on file at this primary address.

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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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