Geneva Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00019314 Issued in AL

Legal business name

GENEVA MEDICAL GROUP, INC.

Practice address

701 W Maple Ave
Geneva, AL 36340-1609

Phone

(334) 684-9208

Fax

(334) 684-1302

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher S. Cosper, M.D.NPI 1457312456

Title

President

Phone

(334) 684-9208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Steven Cosper, MD

  • Family Medicine Physician
  • Geneva, AL
  • NPI 1457312456

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Kurt Destin Kraft, MD

  • Family Medicine Physician
  • Geneva, AL
  • NPI 1124089115

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1366450603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W MAPLE AVE",
            "address_2": "PO BOX 328",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401609",
            "telephone_number": "334-684-9208",
            "fax_number": "334-684-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401609",
            "telephone_number": "334-684-9208",
            "fax_number": "334-684-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "COSPER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-684-9208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00019314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geneva County Healthcare Authority, Inc.
• Geneva County Healthcare Authority, Inc.
• Geneva County Healthcare Authority, Inc.
• Geneva Emergency Room Doctors LLC
• Geneva Family Dentistry, LLC
• Geneva Rescue Squad
• Haley Gilley
• Gilstrap Drugs Inc
• Amy Harris
• Gracie Harrison

• All providers in Geneva, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.