Carlos Cossio MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036127 Issued in GA

Legal business name

CARLOS COSSIO MD PC

Practice address

1077 Baxter St
Suite K
Athens, GA 30606-3767

Phone

(706) 613-0313

Fax

(706) 613-0229

NPI assigned

Oct 1, 2009

Last updated

Oct 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Cossio, MDNPI 1033118781

Title

Medical Director/Physician

Phone

(716) 613-0313

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Miguel Cossio, MD

  • Specialist
  • Athens, GA
  • NPI 1033118781
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1396079737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 BAXTER ST",
            "address_2": "SUITE K",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063767",
            "telephone_number": "706-613-0313",
            "fax_number": "706-613-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 BAXTER ST",
            "address_2": "SUITE K",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063767",
            "telephone_number": "706-613-0313",
            "fax_number": "706-613-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS COSSIO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "COSSIO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "716-613-0313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "036127",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "036127",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "036127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah M Carey, PA
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• Matthew Allen Carlson, PSY.D.
• Carlton M Guthrie PC (JNC Anesthesia LLC)
• Hank Carlton
• Meg Carlton
• Carly Dale Counseling, LLC

• Internal Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.