Individual provider Active NPI

Jeffrey Randall Cole, M.D.

  • Surgery Physician
  • Fort Payne, AL
National Provider Identifier
1114100559
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD31787 Issued in AL
Practice address
323 Medical Center Dr SW
Fort Payne, AL 35968-3420
Phone
(256) 273-4300
NPI assigned
Dec 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AN3187956-S48 NC
Surgery Physician 208600000X 43830 KY
Surgery Physician 208600000X MD31787 AL Primary

Addresses

Primary practice location

323 Medical Center Dr SW
Fort Payne, AL 35968-3420

Mailing address

323 Medical Center Dr SW
Fort Payne, AL 35968-3420
Phone (256) 273-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000448 AL Practitioner - General Surgery 3375791197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kentucky College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

323 Medical Ctr Dr SW
Fort Payne, AL 35968-3420
Phone (256) 273-4300

Hospital & facility affiliations

  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy82
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux118
Melanoma (skin cancer) excision1-10
Removal of tissue72
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31787ALMDSurgery Physician
43830KYMDSurgery Physician
AN3187956-S48NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Surgical Arts Surgery CurrentSince Jan 1, 2019 Accepting new patients

Locations

323 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 273-4300

Interoperability endpoints

  • Direct secure messaging: jcole198@yourcarecommunity.org
  • Direct secure messaging: drjeffreycole@csap-al1.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

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": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1114100559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683420",
            "telephone_number": "256-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683420",
            "telephone_number": "256-273-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JEFFREY",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "AN3187956-S48",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "43830",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD31787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.