Elizabeth Appelquest Coe, DO

Individual provider Active NPI Family Medicine Physician · Greensboro, GA

NPI 1124201454 · NPPES record last updated Sep 14, 2016

Key facts

NPI
1124201454
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
035806 (GA)
Practice address
803 S Main St
Greensboro, GA 30642-1211
Phone
(706) 453-1201
Fax
(706) 453-1441
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Medicare Care Compare profile

Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconee Valley Healthcare Inc (21 clinicians)

Practice addresses (Care Compare)

1040 Park Dr
Greensboro, GA 30642-3466
Phone (706) 534-6640

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060105000818 GA Practitioner - Family Practice 4486677366 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035806GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Valley Healthcare Inc Current
since Oct 18, 2006
Accepting new patients
Oconee Valley Healthcare Inc Current Accepting new patients
Oconee Valley Healthcare Inc Current Accepting new patients
Oconee Valley Healthcare Inc Current Accepting new patients
Oconee Valley Healthcare Inc Current
since Oct 18, 2006
Accepting new patients
Family Medical Associates of Lake Oconee PC Family Medicine Past Accepting new patients

Locations

114 Harmony Xing
Ste 5
Eatonton, GA 31024
Phone (706) 454-1210

1040 Park Dr
Ste A
Greensboro, GA 30642
Phone (706) 453-4945

1040 Park Dr
Greensboro, GA 30642
Phone (706) 453-4945

803 S Main St
Greensboro, GA 30642
Phone (706) 453-1201

1041 Park Dr
Greensboro, GA 30642
Phone (706) 453-4945

510 N Cobb St
Milledgeville, GA 31061
Phone (478) 414-1414

60 GA Highway 22 W
Milledgeville, GA 31061
Phone (478) 414-1414

Interoperability endpoints

  • Direct secure messaging: elizabeth.coe.1@15507.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15507/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 035806 GA Yes

Addresses

Primary practice location

803 S Main St
Greensboro, GA 30642-1211

Mailing address

803 S Main St
Greensboro, GA 30642-1211
Phone (706) 453-1201

Other identifiers

IdentifierTypeStateIssuer
000956238AMedicaidGA

Other names

  • Elizabeth Lea Appelquest-Coe Former name

Other providers in Greensboro, GA

All providers in Greensboro, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.