Kochera Douglas, HAIR LOSS SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

1744P3200X Issued in GA

Practice address

2770 Lenox Rd NE
Suite B7
Atlanta, GA 30324-6006

Phone

(404) 816-6610

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1154755502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 MILL STREAM LN SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606218",
            "telephone_number": "404-200-3316",
            "fax_number": "770-405-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 LENOX RD NE",
            "address_2": "SUITE B7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246006",
            "telephone_number": "404-816-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KOCHERA",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "1744P3200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Alexander Miller Douglas III
• Jeremy Douglas, RDN
• Jodian Kedoya Douglas
• John S Douglas Jr.
• Kelley Douglas
• Michael Tyrone Douglas, M.S. A.T.C.
• Nickesha Melisa Douglas, MS
• Tammy Douglas
• Adrian Cedric Douglass, M.D.
• Amber Janae Douglass, DC

• Prosthetics Case Management in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.