Deborah Ann Cochran, NP-C
Individual provider Active NPI Nurse Practitioner · Winder, GA
NPI 1366838294 · NPPES record last updated Oct 10, 2017
Key facts
- NPI
- 1366838294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN104775 (GA)
- Practice address
- 316 N Broad St
Winder, GA 30680-2150 - Phone
- (770) 867-3400
- NPI assigned
- Apr 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151217000511 | GA | Practitioner - Nurse Practitioner | 7416258454 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN104775 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Cogent Healthcare of Georgia PC | Nurse Practitioner | Current |
Accepting new patients |
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
316 N Broad St
Winder, GA 30680
Phone (770) 307-5354
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN104775 | GA | |
| Nurse Practitioner | 363L00000X | RN104775 | GA | Yes |
Addresses
Primary practice location
316 N Broad St
Winder, GA 30680-2150
Mailing address
316 N Broad St
Winder, GA 30680-2150
Phone (770) 867-3400
Other names
- Deborah Ann Kiernan Cochran
Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.