NPIMap

Coffee Regional Medical Center Inc

A Medicare group practice based in Douglas, GA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4587656012), with 75 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587656012The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
3
Group size
29 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040402000287 GA Part B Supplier - Clinic/Group Practice 1437120946
O20100826000963 GA Part A Provider - Hospital 1760419527
O20100607000843 GA Part A Provider - Rural Health Clinic 1639211956

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 75

Clinicians who reassign their Medicare benefits to this group (75) or whom Care Compare lists as members (29).

Sources for this page