Jarrod Keith Coggin, ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-109657 Issued in AL

Practice address

5 Mobile Infirmary Cir
Pob Suite 308
Mobile, AL 36607-3513

Phone

(314) 317-0600

Fax

(314) 317-0606

NPI assigned

Sep 30, 2011

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcoggin26581@directinfirmaryhealth.org

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.

• Transitional Care LLC

  • Nurse Practitioner
  • Mobile, AL
  • NPI 1891218194
  Medicare reassignment
• Internal Medicine Center

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1295787505
  NPD

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1356625925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WILLIAMS ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061444",
            "telephone_number": "251-209-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "address_2": "POB SUITE 308",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGIN",
        "first_name": "JARROD",
        "middle_name": "KEITH",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-109657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134526",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cogburn Health and Rehabilitation - West, Inc. (Cogburn Rehab - West)
• Cogburn Health Center Inc
• Cogburn Health Center Pharmacy
• Cogburn Health Services, Inc.
• Cogburn Nursing Home Inc
• Shauna Marie Coggin, PA-C
• Mary E Cohen-Colson, M.D.
• Michael V. Cohen, MD
• Christal Compton Coker
• Dianne Colbey

• Acute Care Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.