Charles Leo Coster, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04754 Issued in GA

Practice address

91 Sammy McGhee Blvd
Suite 101
Jasper, GA 30143-7703

Phone

(706) 253-6200

Fax

(706) 253-6276

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

No

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.

• Wellstreet of Georgia PC

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547

  GA

  Medicare reassignment NPD
• Murphy Medical Center Inc

  • Certified Registered Nurse Anesthetist
  • Murphy, NC
  • NPI 1649378423

  NC

  Medicare reassignment
• Ball Ground Family Practice,P.C.

  • Family Medicine Physician
  • Ball Ground, GA
  • NPI 1609045798

  Family Medicine

  NPD (past) Authorized official
• Chatuge Regional Hospital Inc

  • Internal Medicine Physician
  • Hiawassee, GA
  • NPI 1265811962
  NPD (past)
• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Murphy Medical Center Inc

  • Critical Access Hospital
  • Murphy, NC
  • NPI 1801831102

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328

Medicare fee-for-service enrollment

Enrolled in GA, NC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2008.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1124157722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SAMMY MCGHEE BLVD",
            "address_2": "SUITE 101",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437703",
            "telephone_number": "706-253-6200",
            "fax_number": "706-253-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SAMMY MCGHEE BLVD",
            "address_2": "SUITE 101",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437703",
            "telephone_number": "706-253-6200",
            "fax_number": "706-253-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTER",
        "first_name": "CHARLES",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "04754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001880G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Cooper, PH.D.
• Leslie G Cornelison, RPH
• Kristen Elizabeth Cornelius, MSN, AG-ACNP, CV-BC
• Wanda Denise Correia, F.N.P.
• Coster Care
• Cplace Jasper SNF LLC
• Laura Craig
• Crescent Services LLC
• Crescent Services LLC
• Nicholas B Cummings, PHARMD

• All providers in Jasper, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.

Verify at the official NPI Registry.