Active NPI
Mark D Cohen, M.D.
- Cardiovascular Disease Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 62107
- Practice address
- 425 W 3Rd Ave
Suite 600
Albany, GA 31701-1941 - Phone
- (229) 431-1022
- Fax
- (229) 431-2068
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01029427A | IN | |
| Interventional Cardiology Physician | 207RI0011X | 01029427A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 62107 | GA | Primary |
| Interventional Cardiology Physician | 207RI0011X | 62107 | GA |
Addresses
Primary practice location
425 W 3Rd Ave
Suite 600
Albany, GA 31701-1941
Mailing address
425 W 3Rd Ave
Suite 600
Albany, GA 31701-1941
Phone (229) 431-1022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 879450752A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Indiana University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
122 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
132 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222
425 W 3Rd Ave
Suite 600
Albany, GA 31701-1961
Phone (229) 431-1022
427 W 3Rd Ave
Albany, GA 31701-1975
Phone (229) 312-0344
Hospital & facility affiliations
- Phoebe Putney Memorial Hospital
- Phoebe Sumter Medical Center
- Phoebe Worth Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62107 | GA | MD | Cardiovascular Disease Physician |
| 01029427A | IN | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Fort Wayne Cardiology Corporation | Cardiovascular Disease | Past | Accepting new patients |
| Phoebe Putney Memorial Hospital, Inc. | Past | Accepting new patients | |
| Phoebe Putney Memorial Hospital, Inc. | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Columbus Regional Hospital | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
425 W 3rd Ave
Ste 600
Albany, GA 31701
Phone (229) 431-1022
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
Interoperability endpoints
- mark.cohen.1@8478.direct.athenahealth.com
- mark.cohen@phoebehealth.gadirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Rural Health Clinic/Center
- Pelham, GA
- NPI 1821239765
-
- Rural Health Clinic/Center
- Camilla, GA
- NPI 1821293788
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1609852292
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
-
- Critical Access Hospital
- Sylvester, GA
- NPI 1639157431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1376545053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W 3RD AVE",
"address_2": "SUITE 600",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011941",
"telephone_number": "229-431-1022",
"fax_number": "229-431-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 3RD AVE",
"address_2": "SUITE 600",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011941",
"telephone_number": "229-431-1022",
"fax_number": "229-431-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MARK",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01029427A",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01029427A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "62107",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "62107",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "879450752A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.
- 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.