Active NPI
Graham Harvey Cosper, M.D.
- Pediatric Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 2009-00994
- Practice address
- 1900 Randolph Rd.
Ste. 210
Charlotte, NC 28207-1106 - Phone
- (704) 370-0223
- Fax
- (704) 370-0799
- NPI assigned
- May 18, 2007
- Last updated
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 2009-00994 | NC | Primary |
| Pediatric Surgery Physician | 2086S0120X | E-5149 | AR |
Addresses
Primary practice location
1900 Randolph Rd.
Ste. 210
Charlotte, NC 28207-1106
Mailing address
1900 Randolph Rd.
Ste. 210
Charlotte, NC 28207-1106
Phone (704) 370-0223
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5912425 | Other | NC | MEDICAID |
| N94009 | Other | SC | MEDICAID |
| 2075144 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 446-3350
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5149 | AR | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group Coastal Region, LLC | Pediatric Surgery | Current | Accepting new patients |
| Pediatric Surgical Associates, P.a. | Pediatric Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Pediatric Surgery | Current | Accepting new patients |
| Carolinas Physicians Network Inc. | Pediatric Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Atrium Health Childrens Specialty Network Inc | Pediatric Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1001 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 355-5100
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1900 Randolph Rd
Ste 210
Charlotte, NC 28207
Phone (704) 370-0223
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
Interoperability endpoints
- gcosper45229@direct.novanthealth.org
- gcosper536673@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 14
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.
-
dba Atrium Health Levine Children Specialty Center Pediatric Pulmonology
- Pediatric Endocrinology Physician
- Hickory, NC
- NPI 1962218057
Pediatric Surgery
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Pediatric Surgery Physician
- Charlotte, NC
- NPI 1174640163
-
dba CMC Faculty Internal Medicine Specialists
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1932457983
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Levine Children's General Surgery
- Pediatric Surgery Physician
- Concord, NC
- NPI 1730520396
-
dba Atrium Health Imaging - Kenilworth
- Vascular Surgery Physician
- Charlotte, NC
- NPI 1881624807
Pediatric Surgery
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1275741076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD.",
"address_2": "STE. 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071106",
"telephone_number": "704-370-0223",
"fax_number": "704-370-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD.",
"address_2": "STE. 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071106",
"telephone_number": "704-370-0223",
"fax_number": "704-370-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSPER",
"first_name": "GRAHAM",
"middle_name": "HARVEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NC",
"license": "2009-00994",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "AR",
"license": "E-5149",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "5912425",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "N94009",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "2075144",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.
- 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.