NPI age
12 years
Enumerated 2013-07-23
● Active Type 2 · Organization
Doerun Family Medicine Clinic
Doerun Family Medicine Clinic 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
Sims
Cfo
Last NPPES update
2015-05-07
Source: monthly bulk 2026-05
How this organization compares
Across 181 active clinic/center providers in Georgia.
NPI age
12 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
128 West Broad Ave
Doerun, GA 31744
Mailing address
Po Box 624
Doerun, GA 317440624
Authorized official
Wendell Larry Sims
Cfo
📞 2299853420
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11-8911 | MEDICARE PART A |
| 05 (GA) | 003157266A |
Practice context
Single-site organization. Only one practice location on file.
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- 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.