OrganizationActive
Coffee Regional Medical Center, Inc
NPI 1437120946 · Anesthesiology Physician · Douglas, GA
Provider details
- NPI number
- 1437120946
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mindy Lott, Office Administrator(912) 384-1900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone: (912) 384-1900
Fax: (912) 389-2105
Street-level locationGet directions
Mailing address
Po Box 1287
Douglas, GA 31534-1287
Other names (DBA / former)
- Other name
- Coffee Regional Medical Center
- Other name
- Coffee Regional Medical Center
Registry dates
- Enumerated
- 2006-02-01
- Last updated
- 2022-07-21
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.