Individual provider Active NPI

Cortland Coxhead, MD

  • Pediatrics Physician
  • Dunwoody, GA
National Provider Identifier
1164176426
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
103420 Issued in GA
Practice address
1428 Dunwoody Village Pkwy
Dunwoody, GA 30338-4123
Phone
(770) 394-2358
Fax
(770) 394-3055
NPI assigned
Feb 7, 2022
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 103420 GA Primary

Addresses

Primary practice location

1428 Dunwoody Village Pkwy
Dunwoody, GA 30338-4123

Mailing address

1428 Dunwoody Village Pkwy
Dunwoody, GA 30338-4123
Phone (770) 394-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20220712004193 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6406237114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103420GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dunwoody Pediatrics Pediatrics PastSince Jun 8, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1164176426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 DUNWOODY VILLAGE PKWY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384123",
            "telephone_number": "770-394-2358",
            "fax_number": "770-394-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 DUNWOODY VILLAGE PKWY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384123",
            "telephone_number": "770-394-2358",
            "fax_number": "770-394-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COXHEAD",
        "first_name": "CORTLAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "103420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.