Mark A Coker, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

056276 Issued in GA

Practice address

14557 Highway 19 Ste a
Griffin, GA 30224-9582

Phone

(678) 688-1580

Fax

(678) 688-1594

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.coker@cpd.eclinicaldirectplus.com
• Direct secure messaging: mark.coker@cokerpediatrics.gadirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/HFBDAA

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.

• Coker Pediatrics LLC

  • Pediatrics Physician
  • Griffin, GA
  • NPI 1871707489
  NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1265516892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 HIGHWAY 19 STE A",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302249582",
            "telephone_number": "678-688-1580",
            "fax_number": "678-688-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 HIGHWAY 19 STE A",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302249582",
            "telephone_number": "678-688-1580",
            "fax_number": "678-688-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "056276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579118048J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shermaine Demetric Cleveland
• Vonita Clowers
• Amy J Cofer, P.A.
• Xavier Armond Coggins
• Coker Pediatrics LLC
• Marian Cole, RN
• Alexus Colemon, PT, DPT
• Collier Home Hospice LLC
• Collier Outreach Ministries
• Stephanie Collier

• Pediatrics Physician in Griffin, GA
• Providers in Griffin, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.