NPI age
19 years
Enumerated 2007-02-13
● Active Type 2 · Organization
Coffee Regional Medical Center, Inc
Coffee Regional Medical Center, Inc is 1 of 181 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lewis
President/ceo
Last NPPES update
2022-09-23
Source: monthly bulk 2026-05
How this organization compares
Across 181 active clinic/center providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1301 Peterson Ave S, Ste B
Douglas, GA 315332327
Mailing address
Po Box 1287
Douglas, GA 315341287
Authorized official
Vicki Lewis
President/ceo
📞 9123841900
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Lee Braxton, FNP-C Nurse Practitioner NPI 1932822772
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00000448D |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Coffee Regional First Care
-
Coffee Regional First Care
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Provyx · Custom healthcare lists
Need all 181 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.