Organization Active NPI

Cota Medical Management

  • Maternal & Fetal Medicine Physician
  • Norcross, GA
National Provider Identifier
1467745356
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
COTA MEDICAL MANAGEMENT
Practice address
5050 Jimmy Carter Blvd
Suite 250
Norcross, GA 30093-2711
Phone
(770) 613-0670
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Edmundo Cota
Title
Ceo
Phone
(770) 778-4069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X
Maternal & Fetal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

5050 Jimmy Carter Blvd
Suite 250
Norcross, GA 30093-2711

Mailing address

5050 Jimmy Carter Blvd
Suite 250
Norcross, GA 30093-2711
Phone (770) 613-0670

Other names 1

  • Clinica de la Mama Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinica de la Mama2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4166 Buford Hwy NE
Ste 1029
Atlanta, GA 30345

936 Holcomb Bridge Rd
Roswell, GA 30076

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11906/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1467745356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 JIMMY CARTER BLVD",
            "address_2": "SUITE 250",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932711",
            "telephone_number": "770-613-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 JIMMY CARTER BLVD",
            "address_2": "SUITE 250",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932711",
            "telephone_number": "770-613-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTA MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "COTA",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-778-4069"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de la Mama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.