COFFEE FAMILY MEDICINE, PC – Family Medicine Physician, NPI 1265456669

COFFEE FAMILY MEDICINE, PC is a healthcare provider. based in Douglas, Georgia. specializing in Family Medicine Physician. The organization holds a License No. 004691 (GA). The NPI Number for COFFEE FAMILY MEDICINE, PC is 1265456669

Main info

Organization
Name
COFFEE FAMILY MEDICINE, PC
NPI
1265456669
Phone
(912) 384-2353
Address
200 DOCTORS DR
Authorized Official
DR. LYDIA TANNER PHYSICIAN M.D.
Enumeration Date
27 July 2006
Last Update Date
19 January 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for COFFEE FAMILY MEDICINE, PC

  • Doctors Drive, Douglas, Coffee County, Georgia, 31534, United States

    SUITE 224

    DOUGLAS, GA 315332201

    Phone: (912) 384-2353

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31533)

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Reviews

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Frequently asked questions

Is there an official ID for COFFEE FAMILY MEDICINE, PC in U.S. healthcare records?
The official identifier for COFFEE FAMILY MEDICINE, PC is NPI 1265456669.
Active or inactive — what applies to COFFEE FAMILY MEDICINE, PC?
You should see COFFEE FAMILY MEDICINE, PC as active in CMS-hosted NPPES data.
How would a patient describe COFFEE FAMILY MEDICINE, PC's focus?
For COFFEE FAMILY MEDICINE, PC, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is COFFEE FAMILY MEDICINE, PC registered?
Use Douglas, Georgia as the headline location for COFFEE FAMILY MEDICINE, PC here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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