Coffee County Board of Education

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COFFEE COUNTY BOARD OF EDUCATION

Practice address

1311 Peterson Ave S
Douglas, GA 31533-4401

Phone

(912) 383-5338

Fax

(912) 383-5439

NPI assigned

Dec 12, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patsy Moore

Title

Mediciad Clerk

Phone

(912) 383-5338

Specialties & licenses 5

Addresses

Tax ID family

Coffee County Board of Education2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coffee County Board of Education

  • Local Education Agency (LEA)
  • Douglas, GA
  • NPI 1790971125
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356401996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 PETERSON AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334401",
            "telephone_number": "912-383-5338",
            "fax_number": "912-383-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 PETERSON AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334401",
            "telephone_number": "912-383-5338",
            "fax_number": "912-383-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE COUNTY BOARD OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "MEDICIAD CLERK",
        "authorized_official_telephone_number": "912-383-5338"
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Clark, M.ED, CF-SLP
• Marlee Layne Clements, PHARMD, RPH
• Stacey Lee Clemmons
• Jinnie S Cleveland, DMD
• Coffee Chiropractic LLC
• Coffee County Board of Education
• Coffee County Board of Health (Coffee Wellness Center)
• Coffee County Board of Health
• Coffee County Center for Digestive Diseases LLC
• Coffee County Hospitalist Physicians, LLC

• Speech-Language Pathologist in Douglas, GA
• Providers in Douglas, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.