Active NPI
Camberly F Coe, M.C.D., CCC-A
- Audiologist
- Marietta, GA
National Provider Identifier
1003054875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003514
- Practice address
- 1475 Oak Springs Dr
Marietta, GA 30066-3962 - Phone
- (770) 321-6562
- NPI assigned
- Feb 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003514 | GA | Primary |
Addresses
Primary practice location
1475 Oak Springs Dr
Marietta, GA 30066-3962
Mailing address
1475 Oak Springs Dr
Marietta, GA 30066-3962
Phone (770) 321-6562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry NE
Atlanta, GA 30342-1606
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients |
Locations
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Networks
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- FL HMO
- TN PPO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO D-SNP
- FL HMO D-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL HMO C-SNP
- TN PPO C-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- AL HMO
Interoperability endpoints
- camberly.coe.p137@direct.tenet.nextgenshare.com
Organizations & group practices 1
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233446400000",
"number": "1003054875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 OAK SPRINGS DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300663962",
"telephone_number": "770-321-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 OAK SPRINGS DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300663962",
"telephone_number": "770-321-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COE",
"first_name": "CAMBERLY",
"middle_name": "F",
"credential": "M.C.D., CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-01",
"last_updated": "2009-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.