Edward Brooks Coffie II

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006190 Issued in GA

Practice address

404 King Springs Village Pkwy SE
Smyrna, GA 30082-4240

Phone

(770) 432-4444

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Dawsonville, GA
  • NPI 1528419751

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Winder, GA
  • NPI 1831619337

  Occupational Therapist

  Medicare reassignment NPD
• The Weston Group Inc.

  dba The Weston Health Care Group Inc

  • Physical Therapist
  • Acworth, GA
  • NPI 1841309101

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD
• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1508246174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 LIBERTY PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303189384",
            "telephone_number": "352-455-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 KING SPRINGS VILLAGE PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824240",
            "telephone_number": "770-432-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIE",
        "first_name": "EDWARD",
        "middle_name": "BROOKS",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006190",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cobb Hospital Inc (WellStar Pharmacy Network #9)
• Cobb Kidney Center, PC
• Cobb Medical Associates, LLC
• Cobb Pediatric Associates, PC (Pediatric Associates, PC)
• John D Cochran, MD
• Jeffrey Bryan Cohen, LPC
• Lee Irwin Cohen, DMD
• Rosa Cohen, LPC
• Simona Cohen
• James A Coker, PHARMD

• Occupational Therapist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.