NPIMap

Organization Active NPI

Draughn Coggins & Moore Consultant, LLC

  • Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1043710916
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME21858 Issued in FL
Legal business name
DRAUGHN COGGINS & MOORE CONSULTANT, LLC
Practice address
2150 Morgan Wieland LN Apt 108
Lakeland, FL 33813-3189
Phone
(863) 852-6760
Fax
(863) 209-7991
NPI assigned
Feb 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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

Authorized official

Name
Dr. Julius David Moore Jr., MD,
Title
Partner/ Medical Director
Phone
(863) 333-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME21858 FL Primary

Addresses

Primary practice location

2150 Morgan Wieland LN Apt 108
Lakeland, FL 33813-3189

Mailing address

2150 Morgan Wieland LN Apt 108
Lakeland, FL 33813-3189
Phone (863) 852-6760

Other names 1

  • Collaborative Care Specialists Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518825600000",
    "number": "1043710916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 MORGAN WIELAND LN APT 108",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133189",
            "telephone_number": "863-852-6760",
            "fax_number": "863-209-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 MORGAN WIELAND LN APT 108",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133189",
            "telephone_number": "863-852-6760",
            "fax_number": "863-209-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAUGHN COGGINS & MOORE CONSULTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "863-333-1018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD,"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME21858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.