Active NPI
Cota Medical Management
- Maternal & Fetal Medicine Physician
- Norcross, GA
National Provider Identifier
1467745356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Maternal & Fetal Medicine Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Clinica de la Mama
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Duluth, GA
- NPI 1487027736
Locations
4166 Buford Hwy NE
Ste 1029
Atlanta, GA 30345
936 Holcomb Bridge Rd
Roswell, GA 30076
Interoperability endpoints
- 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.