MEDICARE: DR. CHARLES D. COFFEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	12858	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093701849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES D. COFFEY M.D.

Provider Business Mailing Address
First Line	:	12100 COUNTY LINE RD STE A2
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35756-2006
Country	:	US
Telephone Number	:	256-325-6722
Fax Number	:

Provider Business Practice Location Address
First Line	:	12205 COUNTY LINE RD STE B
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-7720
Country	:	US
Telephone Number	:	256-325-6722
Fax Number	:	256-325-6724

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	05/24/2022

Similar Medicare Providers

1821948282 — EMMA CAROLINE BANKS FNP-C
Practice Location Address:

12205 COUNTY LINE RD STE B
MADISON, AL
35758-7720

Practice Phone: 256-325-6722
Practice Fax: 256-325-8457

1437143260 — SATYABRATA CHATTERJEE MD
Practice Location Address:

12205 COUNTY LINE RD STE D
MADISON, AL
35758-7720

Practice Phone: 938-227-6307
Practice Fax: 938-227-6318

1619921822 — BHAVNA SHARMA M.D.
Practice Location Address:

12205 COUNTY LINE RD STE B
MADISON, AL
35758-7720

Practice Phone: 256-325-8457
Practice Fax: 256-325-8454

1063595593 — DR. MARC ALAN HULTQUIST D.O.
Practice Location Address:

12205 COUNTY LINE RD STE C
MADISON, AL
35758-7720

Practice Phone: 256-258-8319
Practice Fax: 256-489-4070

1487991568 — MRS. KATY E SHRODE CRNP
Practice Location Address:

12205 COUNTY LINE RD STE B
MADISON, AL
35758-7720

Practice Phone: 256-325-4365
Practice Fax: 256-461-0393

1295245298 — STEPHANIE FAITH BARNETT CRNP
Practice Location Address:

12205 COUNTY LINE RD STE C
MADISON, AL
35758-7720

Practice Phone: 256-246-8575
Practice Fax:

Directions to “ DR. CHARLES D. COFFEY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.