Coffee Regional Medical Center, Inc
NPI 1639211956 · Rural Health Clinic/Center · Douglas, GA
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coffee Regional Medical Center, Inc is a Rural Health Clinic/Center organization in Douglas, GA (NPI 1639211956).
Provider details
- NPI number
- 1639211956
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vicki Lewis, President/Ceo(912) 384-1900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Coffee Regional First Care
- Doing business as
- Coffee Regional First Care
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2022-09-23
- Certified
- 2022-09-20
Frequently asked questions
- What is Coffee Regional Medical Center, Inc's NPI number?
- Coffee Regional Medical Center, Inc's National Provider Identifier (NPI) is 1639211956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coffee Regional Medical Center, Inc?
- Coffee Regional Medical Center, Inc is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coffee Regional Medical Center, Inc located?
- Coffee Regional Medical Center, Inc's practice location on file with NPPES is 1301 Peterson Ave S, Douglas, GA 31533-2327.
- What is Coffee Regional Medical Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Coffee Regional Medical Center, Inc is (912) 383-6966.
- Does Coffee Regional Medical Center, Inc accept Medicare?
- Coffee Regional Medical Center, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coffee Regional Medical Center, Inc?
- The authorized official listed on Coffee Regional Medical Center, Inc's NPPES record is Vicki Lewis, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coffee Regional Medical Center, Inc's NPI active?
- Yes — Coffee Regional Medical Center, Inc's NPI (1639211956) is active in the NPPES registry as of the last update on 2022-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.