Active NPI
Christopher Daniel Kohls, M.D.
- Emergency Medicine Physician
- Rincon, GA
National Provider Identifier
1447664974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- LL36998
- Practice address
- 5629 Hwy 21 South
Rincon, GA 31326 - Phone
- (912) 295-2133
- Fax
- (912) 295-5924
- NPI assigned
- Jun 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | LL36998 | SC | Primary |
Addresses
Primary practice location
5629 Hwy 21 South
Rincon, GA 31326
Mailing address
5629 Hwy 21 South
Rincon, GA 31326
Phone (912) 295-2133
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Emergency Associates | Emergency Medicine | Current | Accepting new patients |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients |
Locations
5629 Highway 21 S
Rincon, GA 31326
Phone (912) 295-2133
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1447664974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5629 HWY 21 SOUTH",
"city": "RINCON",
"state": "GA",
"postal_code": "31326",
"telephone_number": "912-295-2133",
"fax_number": "912-295-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5629 HWY 21 SOUTH",
"city": "RINCON",
"state": "GA",
"postal_code": "31326",
"telephone_number": "912-295-2133",
"fax_number": "912-295-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLS",
"first_name": "CHRISTOPHER",
"middle_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "LL36998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.