Organization Active NPI

Michael J. Cohen, M.D., P.C.

  • Specialist
  • Augusta, GA
National Provider Identifier
1114037629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19499 Issued in GA
Legal business name
MICHAEL J. COHEN, M.D., P.C.
Practice address
1109 Medical Center Dr
Suite 8B
Augusta, GA 30909-6633
Phone
(706) 860-9210
Fax
(706) 860-8911
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Joseph Cohen, M.D.
Title
President
Phone
(706) 860-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 19499 GA Primary

Addresses

Primary practice location

1109 Medical Center Dr
Suite 8B
Augusta, GA 30909-6633

Mailing address

1109 Medical Center Dr
Suite 8B
Augusta, GA 30909-6633
Phone (706) 860-9210

Other identifiers 1

IdentifierTypeStateIssuer
00160652AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1109 Medical Center Dr
Ste 8B
Augusta, GA 30909
Phone (706) 860-9210

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114037629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 MEDICAL CENTER DR",
            "address_2": "SUITE 8B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096633",
            "telephone_number": "706-860-9210",
            "fax_number": "706-860-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 MEDICAL CENTER DR",
            "address_2": "SUITE 8B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096633",
            "telephone_number": "706-860-9210",
            "fax_number": "706-860-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. COHEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-860-9210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "19499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00160652A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.