Individual provider Active NPI

Mark Edward Cotney, D.C.

  • Chiropractor
  • Thomaston, GA
National Provider Identifier
1184658924
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2103 Issued in GA
Practice address
101 N Green St
Thomaston, GA 30286-3554
Phone
(706) 646-2225
Fax
(706) 648-2153
NPI assigned
Jul 10, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2103 GA Primary

Addresses

Primary practice location

101 N Green St
Thomaston, GA 30286-3554

Mailing address

101 N Green St
Thomaston, GA 30286-3554
Phone (706) 646-2225

Other identifiers 1

IdentifierTypeStateIssuer
00297184AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000212 GA Practitioner - Chiropractic 2264507144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark E. Cotney, D.C., P.C.Group PAC ID 5698840478, 2 clinicians

Practice addresses (Care Compare)

101 N Green St
Thomaston, GA 30286-3554
Phone (706) 647-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002103GAMDMarriage & Family Therapist
2103GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark E. Cotney, D.C., P.C. Chiropractor CurrentSince Jul 7, 1986 Accepting new patients

Locations

101 N Green St
Thomaston, GA 30286
Phone (404) 648-4242

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1184658924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N GREEN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863554",
            "telephone_number": "706-646-2225",
            "fax_number": "706-648-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N GREEN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863554",
            "telephone_number": "706-646-2225",
            "fax_number": "706-648-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTNEY",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00297184A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.