OrganizationActive
Coffee County Pediatrics PC
NPI 1861659294 · Primary Care Clinic/Center · Douglas, GA
Provider details
- NPI number
- 1861659294
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dyapa Reddy, President(912) 384-2474
- License
- 028307 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
303b Shirley Ave
Douglas, GA 31533-2333
Phone: (912) 384-2474
Fax: (912) 384-4995
Street-level locationGet directions
Mailing address
303b Shirley Ave
Douglas, GA 31533-2333
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2008-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.