Tracie Cogdell

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

217 Arrowhead Blvd BLDG Suite2A
Jonesboro, GA 30236-1169

Phone

(404) 720-5359

NPI assigned

Aug 16, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1124674866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WATERCREST DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368031",
            "telephone_number": "404-720-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD BLDG SUITE2A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "404-720-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGDELL",
        "first_name": "TRACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roza Elena Clempus, M.D.
• Lashaunda Denise Clerizier, APRN
• Clinical Intervention Specialists, LLC
• Debbie Lashal Cobb
• Azizah Codner
• Monica Michelle Cohen, MS,
• Robert D Cohen, MD
• Carolyn Coleman, LPN
• Maria Teresa A Coleman, MD
• Shawn Maria Coleman

• Non-emergency Medical Transport (VAN) in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.