Jeffery Joe Dockery, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

037987 Issued in GA

Practice address

310 Bryan St W
Douglas, GA 31533-4730

Phone

(912) 389-4586

Fax

(912) 389-4590

NPI assigned

Aug 26, 2005

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Mercer University School of Medicine, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Coffee County Hospitalist Physicians LLCGroup PAC ID 1153696117, 17 clinicians

Ware County Board of HealthGroup PAC ID 5395736193, 2 clinicians

Bulloch County Board of HealthGroup PAC ID 5193710481, shared by 2 NPIs, 4 clinicians

Coffee County Board of HealthGroup PAC ID 7416944087, 3 clinicians

Toombs County Board of HealthGroup PAC ID 4183612732, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Coffee County Board of Health

  • Public Health or Welfare Agency
  • Douglas, GA
  • NPI 1952346074
  Medicare reassignment Care Compare group NPD
• Coffee County Hospitalist Physicians, LLC

  • Independent Medical Examiner Physician
  • Douglas, GA
  • NPI 1811435464
  Medicare reassignment Care Compare group NPD
• Toombs County Wellness Center

  • Public Health or Welfare Agency
  • Lyons, GA
  • NPI 1831112879
  Medicare reassignment Care Compare group NPD
• Ware County Board of Health

  • Public Health or Welfare Agency
  • Waycross, GA
  • NPI 1568491785
  Medicare reassignment Care Compare group NPD
• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  Medicare reassignment NPD
• Bulloch County Board of Health

  dba Bulloch Wellness Center

  • Public Health or Welfare Agency
  • Statesboro, GA
  • NPI 1043243876
  Medicare reassignment NPD
• Bulloch County Board of Health

  • Public Health or Welfare Agency
  • Statesboro, GA
  • NPI 1417985060
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Family Medical Associates-Claxton, Inc

  dba Broxton Family Medical Associates

  • Clinic/Center
  • Broxton, GA
  • NPI 1013327014
  Authorized official Same address or phone
• Coffee County Board of Health

  dba Coffee Wellness Center

  • Public Health or Welfare Agency
  • Douglas, GA
  • NPI 1316976699
  NPD
• Phoebe Dorminy Family Care

  • Clinic/Center
  • Fitzgerald, GA
  • NPI 1992084644
  NPD
• Toombs County Board of Health

  • Public Health or Welfare Agency
  • Lyons, GA
  • NPI 1558390757
  NPD

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

• Coffee Regional Medical Center, Inc

  dba Coffee Regional Medical Center

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  Care Compare affiliation

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1831182674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334730",
            "telephone_number": "912-359-3869",
            "fax_number": "912-359-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334730",
            "telephone_number": "912-389-4586",
            "fax_number": "912-389-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "JEFFERY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "037987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00656686C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth P Depersio, MD
• Steven Charles Diamond, M.D.
• Monica Sherise Dill
• Diskin G. Morgan MD PC
• Debbie L Dismuke
• Dorothy Dixon
• Douglas Cancer Center
• Douglas Chiropractic (Douglas Spine And Rehab)
• Douglas Family Chiropractic, LLC
• Douglas Family Medicine Assoc

• Family Medicine Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.