Individual provider Active NPI

David J Cohen, MD

  • Dermatology Physician
  • Macon, GA
National Provider Identifier
1487652020
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
037176 Issued in GA
Practice address
308 Coliseum Dr
Suite 200
Macon, GA 31217-3876
Phone
(478) 742-2180
Fax
(478) 745-2623
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 037176 GA Primary

Addresses

Primary practice location

308 Coliseum Dr
Suite 200
Macon, GA 31217-3876

Mailing address

308 Coliseum Dr
Suite 200
Macon, GA 31217-3876
Phone (478) 742-2180

Other identifiers 1

IdentifierTypeStateIssuer
000700477AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000939 GA Practitioner - Dermatology 4385537588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Skin Care Physicians of Georgia, P.C..Group PAC ID 7517850712, 15 clinicians

Practice addresses (Care Compare)

308 Coliseum Dr
Suite 200
Macon, GA 31217-3861
Phone (478) 742-2180

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions831
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037176GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians of Georgia, P.C. Dermatology CurrentSince Dec 1, 1999 Accepting new patients

Locations

910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652

906 N 5th St
Ste D45
Cordele, GA 31015
Phone (912) 276-0972

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

1210 Commerce Dr
Ste 113114
Greensboro, GA 30642
Phone (478) 742-2180

308 Coliseum Dr
Ste 200
Macon, GA 31217
Phone (478) 314-0784

116 Tommy Stalnaker Dr
#A
Warner Robins, GA 31088
Phone (478) 742-4847

Interoperability endpoints

  • Direct secure messaging: dcohen@kentderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1487652020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR",
            "address_2": "SUITE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173876",
            "telephone_number": "478-742-2180",
            "fax_number": "478-745-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR",
            "address_2": "SUITE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173876",
            "telephone_number": "478-742-2180",
            "fax_number": "478-745-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "037176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000700477A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.