Individual provider Active NPI

Richard Cohen, D.C.

  • Pediatric Chiropractor
  • Decatur, GA
National Provider Identifier
1467859868
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CHIR009161 Issued in GA
Practice address
1275 McConnell Dr Ste E
Decatur, GA 30033-3505
Phone
(404) 321-0082
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X CHIR009161 GA Primary

Addresses

Primary practice location

1275 McConnell Dr Ste E
Decatur, GA 30033-3505

Mailing address

1275 McConnell Dr Ste E
Decatur, GA 30033-3505
Phone (404) 321-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411001073 GA Practitioner - Chiropractic 4486952330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1275 McConnell Dr
Suite E
Decatur, GA 30033-3505
Phone (404) 321-0082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009161GAMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Mill Chiropractic LLC CurrentSince Jan 1, 2023 Accepting new patients
Rubin Family Chiropractic,P.C. Past Accepting new patients

Locations

1275 McConnell Dr
Ste E
Decatur, GA 30033
Phone (404) 321-0080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1467859868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 MCCONNELL DR STE E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333505",
            "telephone_number": "404-321-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 MCCONNELL DR STE E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333505",
            "telephone_number": "404-321-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "GA",
            "license": "CHIR009161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.