Individual provider Active NPI

Luis Miguel Hernandez Cobian, MD

  • Psychiatry Physician
  • Savannah, GA
National Provider Identifier
1417427063
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
96051 Issued in GA
Practice address
601 E 66TH Street
Savannah, GA 31405-3140
Phone
(912) 662-0088
NPI assigned
Nov 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 12766 GA
Psychiatry Physician 2084P0800X 96051 GA Primary

Addresses

Primary practice location

601 E 66TH Street
Savannah, GA 31405-3140

Mailing address

601 E 66TH St
Savannah, GA 31405-4519
Phone (912) 662-0088

Other identifiers 1

IdentifierTypeStateIssuer
12766OtherGAGEORGIA TRAINING PERMIT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227001900 GA Practitioner - Psychiatry 3971948225 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
96051GAMDPsychiatry Physician
12766GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Service Board Current Accepting new patients
Gateway Behavioral Health Services CurrentSince Dec 9, 2023 Accepting new patients

Locations

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

124 SW Broad St
Jesup, GA 31545
Phone (912) 280-7023

800 E 70th St
Savannah, GA 31405
Phone (912) 692-0606

601 E 66th St
Savannah, GA 31405
Phone (912) 503-9539

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1417427063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054519",
            "telephone_number": "912-662-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 66TH STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053140",
            "telephone_number": "912-662-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ COBIAN",
        "first_name": "LUIS",
        "middle_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "12766",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "96051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA TRAINING PERMIT",
            "identifier": "12766",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.