Individual provider Active NPI

John Andrew Cole, M.D.

  • Dermatology Physician
  • Valdosta, GA
National Provider Identifier
1164684304
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
065951 Issued in GA
Practice address
2410N Oak St
Valdosta, GA 31602-2533
Phone
(229) 241-7546
Fax
(229) 469-5722
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 065951 GA Primary

Addresses

Primary practice location

2410N Oak St
Valdosta, GA 31602-2533

Mailing address

2410N Oak St
Valdosta, GA 31602-2533
Phone (229) 241-7546

Other identifiers 1

IdentifierTypeStateIssuer
202I077955OtherGAMEDICARE PTAN

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
I20120719000167 GA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8628234705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Dermatology LLCGroup PAC ID 7719143890, 5 clinicians

Practice addresses (Care Compare)

2410 N Oak St
Valdosta, GA 31602-2533
Phone (229) 241-7546

Merit-based Incentive Payment System (MIPS)

Final score
91.72 of 100Reported as group
Quality
88.23
Promoting interoperability
96
Improvement activities
40
Cost
87.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision196
Removal of tissue1-10
Removal of skin lesions309
Removal of skin cancer737
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Dermatology LLC Dermatology CurrentSince Jul 2, 2012 Accepting new patients
Jpfo, LLC CurrentSince Sep 1, 2012 Accepting new patients

Locations

2410 N Oak St
Valdosta, GA 31602
Phone (229) 241-7546

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1164684304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022533",
            "telephone_number": "229-241-7546",
            "fax_number": "229-469-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022533",
            "telephone_number": "229-241-7546",
            "fax_number": "229-469-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "065951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I077955",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.