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NPI 1275187403
● Active Type 2 · Organization
Coffee Chiropractic Llc
Chiropractor · Douglas, GA · NPI 1275187403
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Enumerated 2019 · 6 years on NPI
Coffee Chiropractic Llc is 1 of 4970 chiropractor organizations in Georgia.
NPI age
6 years
Enumerated 2019-07-25
Primary specialty
Chiropractor
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Stewart
Chiropractor/owner
Last NPPES update
2022-12-13
Source: monthly bulk 2026-05
How this organization compares
Across 4970 active chiropractor providers in Georgia.
NPI age
6 years
↓ 9 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2019 → 2026
2019-07 Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1103 Madison Ave N
Douglas, GA 315332803
📞 9123843002 fax 9123834691
Mailing address
1103 Madison Ave N
Douglas, GA 315332803
📞 9123843002 fax 9123834691
Additional practice locations
1 secondary location on file with NPPES.
Location 2
612 Tift Ave N
Tifton, GA 317944468
📞 2293870605 fax 2293824342
Authorized official
Wycliff Harold Stewart, DC
Chiropractor/owner
📞 9123843002
Individual providers at this organization
5 individual providers on file at this primary practice address.
Practice context
Multi-provider organization.
5 individual providers on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.