OrganizationActive
Coffee Regional Medical Center
NPI 1992999205 · Clinic/Center · Douglas, GA
Provider details
- NPI number
- 1992999205
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elaine Lord, Medical Staff Assistant(912) 383-5623
- License
- 03941 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 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
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone: (912) 384-1900
Fax: (912) 389-2105
Street-level locationGet directions
Mailing address
1101 Ocilla Rd
Douglas, GA 31533-2207
Registry dates
- Enumerated
- 2007-08-29
- Last updated
- 2007-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.