Organization Active NPI

Lamar Cousins, MD D/B/a Cousin & Cantrell Internal Medicine

Doing business as WellStar Cousins and Cantrell, LLC

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1316994197
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAMAR COUSINS, MD D/B/A COUSIN & CANTRELL INTERNAL MEDICINE
Doing business as
WellStar Cousins and Cantrell, LLC
Practice address
166 Vann St NE
Marietta, GA 30060-7250
Phone
(770) 422-7377
Fax
(770) 421-1304
NPI assigned
May 27, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLSTAR HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Nicole Ashe
Title
Executive Director of Finance
Phone
(770) 792-5261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

166 Vann St NE
Marietta, GA 30060-7250

Mailing address

166 Vann St NE
Marietta, GA 30060-7250
Phone (770) 422-7377

Other names 1

  • WellStar Cousins and Cantrell, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Wellstar Behavioral Hea

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1316994197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 VANN ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607250",
            "telephone_number": "770-422-7377",
            "fax_number": "770-421-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 VANN ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607250",
            "telephone_number": "770-422-7377",
            "fax_number": "770-421-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR COUSINS, MD D/B/A COUSIN & CANTRELL INTERNAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ASHE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "770-792-5261"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellStar Cousins and Cantrell, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.