NPIMap

Individual provider Active NPI

Corey Coles, M.D.

  • Family Medicine Physician
  • Creedmoor, NC
National Provider Identifier
1255794152
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019-00454 Issued in NC
Practice address
2503 E Lyon Station Rd # 2
Creedmoor, NC 27522
Phone
(919) 528-1535
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019-00454 NC Primary

Addresses

Primary practice location

2503 E Lyon Station Rd # 2
Creedmoor, NC 27522

Mailing address

2503 E Lyon Station Rd # 2
Creedmoor, NC 27522-9112
Phone (919) 528-1535

Other practice location 1

2503 E Lyon Station Rd # 2
Creedmoor, NC 27522
Phone (919) 528-1535 ext. 91952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916002211 NC Practitioner - Internal Medicine 7012208259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2503 E Lyon Station Rd
Creedmoor, NC 27522-9112
Phone (919) 528-1535

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients

Locations

2503 E Lyon Station Rd
Creedmoor, NC 27522
Phone (919) 528-1535

2503 E Lyon Station Rd
#2
Creedmoor, NC 27522
Phone 9195281535 ext. 91952

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

Interoperability endpoints

  • Direct secure messaging: corey.coles.1@17598.direct.athenahealth.com
  • Direct secure messaging: ccoles429661@direct.medicine.duke.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1255794152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 E LYON STATION RD # 2",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229112",
            "telephone_number": "919-528-1535",
            "fax_number": "614-533-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E LYON STATION RD # 2",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "919-528-1535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 E Lyon Station Rd # 2",
            "address_purpose": "LOCATION",
            "city": "Creedmoor",
            "state": "NC",
            "postal_code": "27522",
            "country_code": "US",
            "telephone_number": "919-528-1535 x91952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLES",
        "first_name": "COREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-00454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

Verify at the official NPI Registry.