David T Coon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13516 Issued in MS

Practice address

1487 Belk Blvd
Oxford, MS 38655-5371

Phone

(662) 234-1090

Fax

(662) 234-0432

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IABFAA

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.

• Urgent Care Clinic of Oxford

  • Family Medicine Physician
  • Oxford, MS
  • NPI 1043421357

  Family Medicine, MS

  Medicare reassignment NPD
• The University of Mississippi Speech and Hearing Center

  • Audiologist
  • Oxford, MS
  • NPI 1952527467
  NPD (past)
• Univ. of Miss. Student Health Service

  • Student Health Clinic/Center
  • University, MS
  • NPI 1679799175
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407962103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555371",
            "telephone_number": "662-234-1090",
            "fax_number": "662-234-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555371",
            "telephone_number": "662-234-1090",
            "fax_number": "662-234-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "13516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00027799",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conscious Change LLC
• Kenya L Conway, MS
• Ginger Cook, RNFA
• Steven Trent Cook, R.PH.
• Philip G Cooker
• Anna Gayle Cooper, FNP
• Carrie Cooper, PHARM.D
• Jenna Joe Rose Cooper, PA-C
• Jessica Lynn Cooper
• Olivia Babb Cooper, FNP

• All providers in Oxford, MS
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.