Coga Health

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

75523 Issued in GA

Legal business name

COGA HEALTH

Doing business as

Coastal Georgia Child Neurology

Practice address

139 Altama Connector
PMB 316
Brunswick, GA 31525-1888

Phone

(864) 884-1137

Fax

(912) 330-1009

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Maynard Ashley Hutson

Title

Owner/Manager

Phone

(864) 884-1137

Specialties & licenses 1

Addresses

Other names 1

• Coastal Georgia Child Neurology Doing business as

Locations

Practitioners 1

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

• Sharlisa Danielle Hutson, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Brunswick, GA
  • NPI 1740440445
  NPD

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1376998096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ALTAMA CONNECTOR",
            "address_2": "PMB 316",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251888",
            "telephone_number": "864-884-1137",
            "fax_number": "912-330-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ALTAMA CONNECTOR",
            "address_2": "PMB 316",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251888",
            "telephone_number": "864-884-1137",
            "fax_number": "912-330-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "HUTSON",
        "authorized_official_first_name": "MAYNARD",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "864-884-1137"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "GA",
            "license": "75523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Georgia Child Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Cobb
• Chelsea Cochran
• Patrick Hezekiah Cochran
• William D Cochran, O.D.
• Donald Alan Cody, R.PH.
• Cole Vision Corporation (Sears Optical #C0159)
• Johanna Cole
• Tyler Cole, DNP
• Jessica Coleman, FNP-C, PMHNP-BC
• Lauren Collier

• Neurology with Special Qualifications in Child Neurology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.