OrganizationActive
Coffee Chiropractic LLC
NPI 1275187403 · Chiropractor · Douglas, GA
Provider details
- NPI number
- 1275187403
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Wycliff Stewart, Chiropractor/Owner(912) 384-3002
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1103 Madison Ave N
Douglas, GA 31533-2803
Phone: (912) 384-3002
Fax: (912) 383-4691
Street-level locationGet directions
Mailing address
1103 Madison Ave N
Douglas, GA 31533-2803
Additional practice locations (1)
- 612 Tift Ave NTifton, GA 31794-4468Phone: (229) 387-0605Fax: (229) 382-4342
Registry dates
- Enumerated
- 2019-07-25
- Last updated
- 2022-12-13
- Certified
- 2022-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.