P Praxis·MD
● Active Type 2 · Organization

Coffee County Nursing Home, Llc

Respite Care·Douglas, GA· NPI 1912036989 · Enumerated 2007 · 19 years on NPI
Coffee County Nursing Home, Llc is 1 of 69 respite care organizations in Georgia.
NPI age
19 years
Enumerated 2007-03-05
Primary specialty
Respite Care
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sheffield
Vp Of Financial Reporting
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 69 active respite care providers in Georgia.

NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1310 Gordon St W
Douglas, GA 315333432
📞 9123847811fax 9123847695
Mailing address
1310 Gordon St W
Douglas, GA 315333432
📞 9123847811fax 9123847695

Authorized official

Kim Sheffield
Vp Of Financial Reporting
📞 4786212100

Specialties

  • Respite Care Primary
    Definition to come.
    GA license #1-056-1784 taxonomy 385H00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Shady Acres
    Type code 3 recorded 2007-03-05

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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