Individual provider Active NPI

Edward J Cohn Jr., M.D.

  • Vascular Surgery Physician
  • Savannah, GA
National Provider Identifier
1043247232
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
052664 Issued in GA
Practice address
4750 Waters Ave
Suite 500
Savannah, GA 31404
Phone
(866) 957-8346
Fax
(912) 355-1414
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 23810 SC
Vascular Surgery Physician 2086S0129X 052664 GA Primary

Addresses

Primary practice location

4750 Waters Ave
Suite 500
Savannah, GA 31404

Mailing address

PO Box 116336
Atlanta, GA 30368-6336
Phone (866) 957-8346

Other practice location 1

613 Towne Park Dr W Ste 204
Rincon, GA 31326-5183
Phone (912) 629-7800

Other practice location 2

1088 Bermuda Run Ste B
Statesboro, GA 30458-0858
Phone (912) 352-8346

Other identifiers 4

IdentifierTypeStateIssuer
557181803CMedicaidGA
557181803RMedicaidGA
G52664MedicaidSC
557181803PMedicaidGA

Other names 1

  • Jerry Cohn Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031110000342 SC Practitioner - Vascular Surgery 5597678136 Reassigns benefits to 1 organization
I20040429000821 GA Practitioner - Vascular SurgeryPractitioner - General Surgery 5597678136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Vascular Institute, LLCGroup PAC ID 2769542075, 20 clinicians

Practice addresses (Care Compare)

1088 Bermuda Run
Suite B
Statesboro, GA 30458-0858
Phone (912) 629-7800

455 S Main St
Suite 205
Hinesville, GA 31313-4354
Phone (912) 352-8346

7208 Hodgson Memorial Dr
Suite a
Savannah, GA 31406-2512
Phone (912) 629-7800

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • Candler County Hospital Hospital, Metter, GA, CCN 111334

Merit-based Incentive Payment System (MIPS)

Final score
83.11 of 100Reported as group
Quality
51.32
Promoting interoperability
98
Improvement activities
40
Cost
79.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23
Leg revascularization (restoring blood flow)18
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Vascular Institute, LLC Vascular Surgery CurrentSince Oct 21, 2008 Accepting new patients
Saint Joseph'S Hospital, Inc. Past Accepting new patients

Locations

166 Memorial Dr
Jesup, GA 31545
Phone (912) 427-2111

613 Towne Park Dr W
Ste 204
Rincon, GA 31326
Phone (912) 785-2100

4750 Waters Ave
Ste 500
Savannah, GA 31404
Phone (912) 350-5961

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

7208 Hodgson Memorial Dr
Ste A
Savannah, GA 31406
Phone (912) 351-5050

1088 Bermuda Run
#B
Statesboro, GA 30458
Phone (912) 681-1441

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: edward.cohnjr.p2@direct.savannahvascular.nextgenshare.com
  • Direct secure messaging: edward.cohnjr.p1@direct.savannahvascular.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1043247232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116336",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686336",
            "telephone_number": "866-957-8346",
            "fax_number": "912-355-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE",
            "address_2": "SUITE 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "866-957-8346",
            "fax_number": "912-355-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Towne Park Dr W Ste 204",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265183",
            "country_code": "US",
            "telephone_number": "912-629-7800",
            "fax_number": "912-355-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1088 Bermuda Run Ste B",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580858",
            "country_code": "US",
            "telephone_number": "912-352-8346",
            "fax_number": "912-355-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHN",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "23810",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "052664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557181803C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557181803R",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G52664",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557181803P",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "COHN",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.