Coffee Emergency Group LLC
NPI 1023353489ActiveOrganization· Emergency Medicine· Douglas, GA
Emergency Medicine in Douglas, Georgia, registered in NPPES in December 2012. The authorized official on file is Lisha C. Falk, Vp Of Contracting. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023353489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2012 |
| Last updated in NPPES | Mar 23, 2022 |
| Certified by provider | Mar 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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