Active NPI
Norman Bauer Coslick, L.AC.
- Acupuncturist
- Savannah, GA
National Provider Identifier
1073858320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 229
- Practice address
- 716 E 71St St
Savannah, GA 31405-4907 - Phone
- (912) 308-1103
- Fax
- (912) 201-3327
- NPI assigned
- Nov 27, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 229 | GA | Primary |
Addresses
Primary practice location
716 E 71St St
Savannah, GA 31405-4907
Mailing address
113 McIntosh Dr
Savannah, GA 31406-5245
Phone (912) 308-1103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Acupuncture Associates, LLC | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Savannah, GA
- NPI 1356727473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1073858320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 MCINTOSH DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314065245",
"telephone_number": "912-308-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E 71ST ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054907",
"telephone_number": "912-308-1103",
"fax_number": "912-201-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSLICK",
"first_name": "NORMAN",
"middle_name": "BAUER",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-27",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "GA",
"license": "229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.