Cole Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

065951 Issued in GA

Legal business name

COLE DERMATOLOGY LLC

Practice address

2410 N Oak St
Valdosta, GA 31602-2533

Phone

(229) 241-7546

Fax

(229) 469-5722

NPI assigned

Jun 6, 2012

Last updated

May 9, 2017By 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

Dr. John Andrew Cole, MDNPI 1164684304

Title

Owner

Phone

(229) 241-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• John Andrew Cole, M.D.

  • Dermatology Physician
  • Valdosta, GA
  • NPI 1164684304
  Medicare reassignment Care Compare group NPD Authorized official
• Molly Bailey

  • Nurse Practitioner
  • Tifton, GA
  • NPI 1568008787
  Medicare reassignment Care Compare group NPD
• Susan Thi Le, PA-C

  • Physician Assistant
  • Valdosta, GA
  • NPI 1104210863
  Medicare reassignment Care Compare group NPD
• Nancy V Taylor, FNP-C

  • Family Nurse Practitioner
  • Valdosta, GA
  • NPI 1033634522
  Medicare reassignment Care Compare group NPD
• Johnna Johnson Bridges, PA-C

  • Physician Assistant
  • Valdosta, GA
  • NPI 1114007424
  Medicare reassignment Care Compare group
• Terri H Wildes, NP-C

  • Nurse Practitioner
  • Perry, GA
  • NPI 1710388301
  Medicare reassignment NPD
• Jefferson Pearce Futch, DPM

  • Podiatrist
  • Ponte Vedra, FL
  • NPI 1629216528
  NPD

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1457612491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022533",
            "telephone_number": "229-241-7546",
            "fax_number": "229-469-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022533",
            "telephone_number": "229-241-7546",
            "fax_number": "229-469-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-241-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "065951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Parramore Cochran, N.P.
• Jeffrey Cohan, DO
• Alexander Ethan Cohen, DO
• Tiffany Cohen
• Charles Coker, LCSW
• Carla Thomas Cole, LICENSE PRACTICAL NU
• John Andrew Cole, M.D.
• Lacey Alexis Cole
• Bradford Coleman
• Dakshaben Patel Coleman, ANP-BC

• Dermatology Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.