Active NPI
Deirdre Evans-Cosby, MD
- Psychiatry Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 055397
- Practice address
- 1800 Howell Mill Rd NW
Ste 275
Atlanta, GA 30318-2538 - Phone
- (404) 756-1400
- Fax
- (404) 756-5252
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 055397 | GA | Primary |
Addresses
Primary practice location
1800 Howell Mill Rd NW
Ste 275
Atlanta, GA 30318-2538
Mailing address
75 Piedmont Ave
Ste 700
Atlanta, GA 30303-2544
Phone (404) 756-5271
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334204431F | Medicaid | GA | |
| 334204431D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Meharry Medical College School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1595 W Cleveland Ave
East Point, GA 30344-3200
Phone (404) 305-8086
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055397 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Healthcare, Inc. | Psychiatry | Current | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1800 Howell Mill Rd NW
Ste 275
Atlanta, GA 30318
Phone (404) 287-0054
75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410
1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1124029798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PIEDMONT AVE",
"address_2": "STE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303032544",
"telephone_number": "404-756-5271",
"fax_number": "404-756-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HOWELL MILL RD NW",
"address_2": "STE 275",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182538",
"telephone_number": "404-756-1400",
"fax_number": "404-756-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS-COSBY",
"first_name": "DEIRDRE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "055397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "334204431F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "334204431D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.