Individual provider Active NPI

Jeffery Thomas Winge, M.D.

  • Emergency Medicine Physician
  • Douglas, GA
National Provider Identifier
1770516361
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
059530 Issued in GA
Practice address
205 Shirley Ave
Douglas, GA 31533
Phone
(912) 383-6966
Fax
(912) 389-2108
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 026580 LA
Emergency Medicine Physician 207P00000X 059530 GA Primary

Addresses

Primary practice location

205 Shirley Ave
Douglas, GA 31533

Mailing address

1101 Ocilla Rd
Douglas, GA 31533-2262
Phone (912) 384-1900

Other practice location 1

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900

Other practice location 2

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900

Other identifiers 1

IdentifierTypeStateIssuer
1057789MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000647 GA Practitioner - Emergency Medicine 4981633708 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Mercer University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee Regional Medical Center IncGroup PAC ID 4587656012, 29 clinicians

Practice addresses (Care Compare)

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900

Hospital & facility affiliations

  • Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
059530GAMDEmergency Medicine Physician
026580LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Regional Medical Center, Inc CurrentSince Sep 1, 2008 Accepting new patients
24 On Physicians, PC CurrentSince Feb 29, 2016 Accepting new patients
24 On Physicians, P.C. CurrentSince Feb 29, 2016 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Sep 1, 2008 Accepting new patients
Ben Hill Emergency Group LLC Emergency Medicine CurrentSince Nov 21, 2015 Accepting new patients
CRH Physician Practices, LLC CurrentSince Dec 22, 2025 Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 2, 2018 Accepting new patients
Coffee Emergency Group LLC Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Correct Care, Inc. Emergency Medicine Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

205 Shirley Ave
Douglas, GA 31533
Phone (912) 260-5400

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

1301 Peterson Ave S
Ste B
Douglas, GA 31533
Phone (912) 383-6966

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575

Interoperability endpoints

  • Direct secure messaging: jeffery.winge.1@9964.direct.athenahealth.com
  • Direct secure messaging: jeffery.winge.2@9964.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1770516361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332262",
            "telephone_number": "912-384-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-383-6966",
            "fax_number": "912-389-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332207",
            "country_code": "US",
            "telephone_number": "912-384-1900",
            "fax_number": "912-384-6885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332207",
            "country_code": "US",
            "telephone_number": "912-384-1900",
            "fax_number": "912-384-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGE",
        "first_name": "JEFFERY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "026580",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "059530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057789",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.