Charlotte E. Coates-Wilkes, M. D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0002332 Issued in MD

Practice address

8417 Bellona LN
Ste 102, Ruxton Towers
Towson, MD 21204-2014

Phone

(410) 828-5911

Fax

(410) 828-0716

NPI assigned

Feb 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Psychiatry

Education

University of Virginia School of Medicine, 1965

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1124169149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 BELLONA LN",
            "address_2": "STE 102, RUXTON TOWERS",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042014",
            "telephone_number": "410-828-5911",
            "fax_number": "410-828-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 BELLONA LN",
            "address_2": "STE 102, RUXTON TOWERS",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042014",
            "telephone_number": "410-828-5911",
            "fax_number": "410-828-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES-WILKES",
        "first_name": "CHARLOTTE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0002332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0002332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee M Clermont, RN, MS, CNS
• Clinical Associates P a
• Clinical Associates P a
• Clinical Associates P a
• Clinical Associates P a
• Shekeyda Coatescoleman
• Rondalyn Coble
• Thomas Coccagna, M.S., CCC-A
• Jennifer Cochran, PHARM D
• Mark F Cochran Jr., PSYD

• Psychiatry Physician in Towson, MD
• Providers in Towson, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.