Individual provider Active NPI

Nyeshia Sherelle Cohill

  • Nurse Practitioner
  • College Park, GA
National Provider Identifier
1194355859
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2290096 Issued in GA
Practice address
5185 Old National Hwy
College Park, GA 30349-3244
Phone
(404) 763-9300
NPI assigned
Jan 22, 2020
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NCO-000001 GA
Nurse Practitioner 363L00000X RN2290096 GA Primary

Addresses

Primary practice location

5185 Old National Hwy
College Park, GA 30349-3244

Mailing address

1040 Huff Rd NW Apt 1401
Atlanta, GA 30318-4168
Phone (205) 903-0530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230822003849 GA Practitioner - Nurse Practitioner 6103289210 Reassigns benefits to 3 organizations
I20250403001272 NC Practitioner - Nurse Practitioner 6103289210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2290096GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Feb 29, 2024 Accepting new patients
Utm of Georgia Physicians LLC CurrentSince Jun 21, 2023 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Feb 29, 2024 Accepting new patients
Monogram Health Professional Services of North Carolina PC Nurse Practitioner CurrentSince Dec 14, 2024 Accepting new patients

Locations

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 704-4342

400 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 944-9018

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

5410 Maryland Way
Ste 400
Brentwood, TN 37027

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • Direct secure messaging: nyeshia.cohill.1@22854.direct.athenahealth.com

Organizations & group practices 5

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1194355859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 HUFF RD NW APT 1401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184168",
            "telephone_number": "205-903-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 OLD NATIONAL HWY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493244",
            "telephone_number": "404-763-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHILL",
        "first_name": "NYESHIA",
        "middle_name": "SHERELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NCO-000001",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN2290096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

Verify at the official NPI Registry.