Individual provider Active NPI

James Ellis Cosby, O.D

  • Optometrist
  • Albany, GA
National Provider Identifier
1316937063
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1852 Issued in GA
Practice address
2616 Pointe North Blvd
Albany, GA 31721-1526
Phone
(229) 435-7795
Fax
(229) 883-0774
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1852 GA Primary

Addresses

Primary practice location

2616 Pointe North Blvd
Albany, GA 31721-1526

Mailing address

2616 Pointe North Blvd
Albany, GA 31721-1526
Phone (229) 435-7795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000031 GA Practitioner - Optometry 0840202966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Ellis Cosby OD PCGroup PAC ID 4981617974, 2 clinicians

Practice addresses (Care Compare)

2616 Pointe N Blvd
Albany, GA 31721-1526
Phone (229) 435-7795

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1852GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J Ellis Cosby OD PC Optometrist CurrentSince Jan 1, 2005 Accepting new patients
Thomas D Bailey MD PC PastSince Sep 25, 2022 Accepting new patients

Locations

1200 Whispering Pines Rd
Albany, GA 31707
Phone (229) 302-2524

2616 Pointe North Blvd
Albany, GA 31721
Phone (229) 435-7795

Interoperability endpoints

  • Direct secure messaging: ecosby@elliscosbyod.eyefinity-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1316937063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 POINTE NORTH BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317211526",
            "telephone_number": "229-435-7795",
            "fax_number": "229-883-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 POINTE NORTH BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317211526",
            "telephone_number": "229-435-7795",
            "fax_number": "229-883-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSBY",
        "first_name": "JAMES",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.