Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1275187403
Coffee Chiropractic Llc
Organization Subpart: NO
Active
NPI Number1275187403
NPI TypeNPI-2 Organization
SpecialtyChiropractor
Provider Details
NPI1275187403
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-07-25
Last Updated2022-12-13
Authorized OfficialWycliff Stewart
Chiropractor/Owner
Phone: 9123843002
Mailing Address1103 Madison Ave N
Douglas, GA 31533-2803
United States
Phone: (912) 384-3002 | Fax: (912) 383-4691
📍 View Map
Primary Practice Address1103 Madison Ave N
Douglas, GA 31533-2803
United States
Phone: (912) 384-3002 | Fax: (912) 383-4691
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes111N00000X – Chiropractor--
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About NPI 1275187403

Coffee Chiropractic Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1275187403. The primary specialty listed is Chiropractor. The organization is located in Douglas, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-07-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275187403?

NPI 1275187403 belongs to Coffee Chiropractic Llc, a Chiropractor in Douglas, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275187403 active?

The current status of NPI 1275187403 in the NPPES registry is Active. The record was last updated on 2022-12-13.

What specialty is NPI 1275187403?

NPI 1275187403 is classified under the taxonomy Chiropractor. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275187403?

You can verify NPI 1275187403 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275187403?

The primary practice address on file for NPI 1275187403 is 1103 Madison Ave N, Douglas, GA 31533-2803. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275187403 issued?

NPI 1275187403 was first issued (enumerated) on 2019-07-25. The NPPES record was last updated on 2022-12-13.

Practice Location Map

Coffee Chiropractic Llc is located at 1103 Madison Ave N, Douglas, GA. Use the map below to find directions or verify the practice location.

📍 1103 Madison Ave N, Douglas, GA 31533-2803  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Coffee Chiropractic Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162