John Cottam MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JOHN COTTAM MD PA

Practice address

741 County Rd 466
Lady Lake, FL 32159

Phone

(352) 259-1042

Fax

(813) 962-0566

NPI assigned

Sep 3, 2021

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawna Frame

Title

Billing Manager

Phone

(423) 525-5993

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• John Cottam MD PA

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1215603337

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Brandon, FL
  • NPI 1225704349

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Chiefland, FL
  • NPI 1437871548

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Fort Walton Beach, FL
  • NPI 1750057873

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Sun City Center, FL
  • NPI 1770259897

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Bartow, FL
  • NPI 1780350892

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Tampa, FL
  • NPI 1982860045

  O20080826000032

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Edwards

  • Medical Physician Assistant
  • Niceville, FL
  • NPI 1487034344
  NPD

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1013685031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 180",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182059",
            "telephone_number": "813-962-4210",
            "fax_number": "813-962-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 COUNTY RD 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-259-1042",
            "fax_number": "813-962-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN COTTAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "FRAME",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "423-525-5993"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004408302",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SKINMD@HOTMAIL.COM",
            "affiliation": "N",
            "address_1": "741 COUNTY RD 466",
            "city": "LADY LAKE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• J. Michael Whitt DMD PA
• Tiffany Jack, HIS
• Mark David Jacobson, M.D.
• Hemwattie S Jaimangal, DO
• Jane Johansson, APRN
• Johnny Gurgen DO PA
• Gina Nicole Johnson, ARNP
• Glendora Whitlow Johnson
• Mary Sue Johnson, ARNP-C
• Christopher Isaiah Jones, M.D.

• Dermatology Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.