David Enoch Cothran Jr., RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21727 Issued in SC

Practice address

800 N Fant St
Anderson, SC 29621-5708

Phone

(864) 512-1118

NPI assigned

Mar 12, 2018

Last updated

Mar 12, 2018By 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

Medicare fee-for-service enrollment

Enrolled in SC

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, Registered Nurse

State licenses

Practice roles

Locations

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.

• Anmed Health

  dba AnMed

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Anderson, SC
  • NPI 1164746392
  Medicare reassignment NPD
• Anmed Health

  dba AnMed - Clemson

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1427005727
  Medicare reassignment NPD
• Anmed Health

  dba AnMed Health Westside Family Medicine

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1639102270
  Medicare reassignment NPD
• Ich ER Services, LLC

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1174002059
  Medicare reassignment NPD
• Anmed Health

  dba AnMed Primary Care-Family Medicine Residency

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1003841461
  NPD
• Anmed Health

  dba AnMed Primary Care - Piedmont

  • Family Medicine Physician
  • Piedmont, SC
  • NPI 1255137832
  NPD
• Anmed Health

  dba AnMed Primary Care - Honea Path

  • Family Medicine Physician
  • Honea Path, SC
  • NPI 1629025010
  NPD
• Anmed Health

  dba AnMed Clemson

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1851701866
  NPD
• Anmed Health

  dba AnMed CareConnect - Anderson

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1871914572
  NPD

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1356844757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 DIXON RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296254935",
            "telephone_number": "864-202-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215708",
            "telephone_number": "864-512-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHRAN",
        "first_name": "DAVID",
        "middle_name": "ENOCH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Cornerstone Family Dentistry LLC
• Brittani Knight Costanza
• Carianna Coston, DO
• Samantha Cote, OD
• Amanda Brooke Couch, NP
• Jennifer Coughlin, O.T.
• Counseling for Life, Inc.
• Counseling Services of Anderson (Counseling Services of Greenville)
• Kimberly Claire Counts, PHARMD

• Family Nurse Practitioner in Anderson, SC
• Providers in Anderson, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.