Coosa Neurosurgery PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

COOSA NEUROSURGERY PC

Practice address

20 Riverbend Dr SW
Rome, GA 30161-6066

Phone

(706) 238-5465

Fax

(706) 235-1618

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. H Pittman

Title

Owner

Phone

(706) 238-5465

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rome Neurospinal Center PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Warren Phillips, MD

  • Neurological Surgery Physician
  • Savannah, GA
  • NPI 1588661268
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1124200100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVERBEND DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616066",
            "telephone_number": "706-238-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIVERBEND DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616066",
            "telephone_number": "706-238-5465",
            "fax_number": "706-235-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOSA NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-238-5465",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000285271D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rome Neurospinal Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Alan Cook, DO
• Vickie Cooper, RN
• Coosa Eye Clinic, Inc
• Coosa Medical Group
• Coosa Neurology PC
• Coosa Procedure Center LLC
• Coosa Valley Chiropractic, LLC
• Coosa Valley Regional Services
• Coosa Valley Wellness, LLC
• Rose Cope, PTA

• Neurological Surgery Physician in Rome, GA
• Providers in Rome, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.