Individual provider Active NPI

Erasme Coly, M.D.

  • Cardiovascular Disease Physician
  • Johnson City, TN
National Provider Identifier
1083745335
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
54651 Issued in TN
Practice address
701 N State of Franklin Rd
Ste 9
Johnson City, TN 37604-3645
Phone
(423) 926-4468
Fax
(423) 928-4838
NPI assigned
Mar 8, 2007
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 049439 GA
Cardiovascular Disease Physician 207RC0000X 18820 SC
Cardiovascular Disease Physician 207RC0000X 54651 TN Primary
Interventional Cardiology Physician 207RI0011X 18820 SC

Addresses

Primary practice location

701 N State of Franklin Rd
Ste 9
Johnson City, TN 37604-3645

Mailing address

701 N State of Franklin Rd
Ste 2
Johnson City, TN 37604-3645
Phone (423) 926-4468

Other identifiers 6

IdentifierTypeStateIssuer
F365496891OtherSCMEDICARE
11BDVMHOtherGAMEDICARE
571109147OtherSCTAX ID
18820OtherSCSTATE ID
060062892OtherSCMEDICARE RAILROAD
188200MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 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
I20040524001347 GA Practitioner - Internal Medicine 7719971431 Reassigns benefits to 1 organization
I20160818002760 TN Practitioner - Cardiovascular Disease (Cardiology) 7719971431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karing Hearts Cardiology PCGroup PAC ID 9436567252, 14 clinicians

Practice addresses (Care Compare)

701 N State of Franklin Rd
Suite 2
Johnson City, TN 37604-3645
Phone (423) 926-4468

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair14
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54651TNMDPharmacy Technician
049439GAMDCardiovascular Disease Physician
18820SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karing Hearts Cardiology Heart and Vascular Center Cardiovascular Disease CurrentSince Dec 11, 2024 Accepting new patients
St. Joseph's Cardiology Group, LLC Cardiovascular Disease CurrentSince Mar 1, 2013 Accepting new patients
Karing Hearts Cardiology PC Cardiovascular Disease CurrentSince May 1, 2021 Accepting new patients
Midlands Cardiology Associates Cardiovascular Disease PastSince Jan 12, 2023 Accepting new patients
Oconee Medical Center Past Accepting new patients

Locations

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

11700 Mercy Blvd
Savannah, GA 31419
Phone (404) 935-9116

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

10 Oak Forest Rd
Ste B
Bluffton, SC 29910
Phone (912) 303-0891

1718 Ribaut Rd
Port Royal, SC 29935
Phone (843) 379-0220

627 N Main Ave
Erwin, TN 37650
Phone (423) 341-0629

600 N State of Franklin Rd
Ste 8
Johnson City, TN 37604

701 N State of Franklin Rd
Ste 2
Johnson City, TN 37604
Phone (423) 477-0600

701 N State of Franklin Rd
Ste 9
Johnson City, TN 37604
Phone (423) 850-0776

4848 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 239-5141

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1083745335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N STATE OF FRANKLIN RD",
            "address_2": "STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043645",
            "telephone_number": "423-926-4468",
            "fax_number": "423-928-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N STATE OF FRANKLIN RD",
            "address_2": "STE 9",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043645",
            "telephone_number": "423-926-4468",
            "fax_number": "423-928-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLY",
        "first_name": "ERASME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "049439",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "18820",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "54651",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "18820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F365496891",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "11BDVMH",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "571109147",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "18820",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060062892",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188200",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.