Active NPI
John Whitsett Cooledge, M.D.
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1346548583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10509
- Practice address
- 1500 Moores Mill Rd NW
Atlanta, GA 30327-1436 - Phone
- (404) 351-5009
- Fax
- (404) 351-5009
- NPI assigned
- Mar 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10509 | GA | Primary |
Addresses
Primary practice location
1500 Moores Mill Rd NW
Atlanta, GA 30327-1436
Mailing address
1500 Moores Mill Rd NW
Atlanta, GA 30327-1436
Phone (404) 351-5009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10509 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299888000000",
"number": "1346548583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MOORES MILL RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303271436",
"telephone_number": "404-351-5009",
"fax_number": "404-351-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MOORES MILL RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303271436",
"telephone_number": "404-351-5009",
"fax_number": "404-351-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEDGE",
"first_name": "JOHN",
"middle_name": "WHITSETT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-12",
"last_updated": "2011-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "10509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.