Sage Kinney Copeland, M.D., F.A.C.S.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

00011018 Issued in AL

Practice address

1218 13TH Ave SE
Decatur, AL 35601-4307

Phone

(256) 355-6200

Fax

(256) 355-6241

NPI assigned

Nov 8, 2005

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sagecopeland@decent.gwaydirect.com

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.

• Decatur ENT Associates P C

  • Facial Plastic Surgery Physician
  • Decatur, AL
  • NPI 1164487708

  Otolaryngology

  Medicare reassignment NPD

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1265413124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014307",
            "telephone_number": "256-355-6200",
            "fax_number": "256-355-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014307",
            "telephone_number": "256-355-6200",
            "fax_number": "256-355-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "SAGE",
        "middle_name": "KINNEY",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "00011018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000019326",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040011769",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-19326",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "051019326",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrel L. Cooper, CRNA
• Jalen Chalia Cooper
• Jason Matthew Cooper
• Kathryn H Cooper, CRNA
• Rosa Cooper
• Anna N Cora
• Thomas Lawrence Corbin, PHARMD
• Jaime Leighann Corcoran, NP
• Chantal Core, RBT
• Cornerstone Caregiving East LLC

• Otolaryngology Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.