Coffee Family Medicine, PC
NPI 1265456669ActiveOrganization· Family Medicine· Douglas, GA
Family Medicine in Douglas, Georgia, registered in NPPES in July 2006. The authorized official on file is Lydia Tanner, M.D., Physician.
Overview
| NPI | 1265456669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Jan 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 53885 | GA |
| Physician Assistant | 363A00000X | 004691 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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