Active NPI
Richard Cohen, D.C.
- Pediatric Chiropractor
- Decatur, GA
National Provider Identifier
1467859868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- CHIR009161
- Practice address
- 1275 McConnell Dr Ste E
Decatur, GA 30033-3505 - Phone
- (404) 321-0082
- NPI assigned
- Dec 1, 2014
- Last updated
- Dec 1, 2022
- 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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009161 | GA | MD | Pediatric Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mason Mill Chiropractic LLC | Current | 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.
-
- Chiropractor
- Decatur, GA
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- Marietta, GA
- NPI 1710912928
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.