Stanley A Cohen, MD

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

020977 Issued in GA

Practice address

993-D Johnson Ferry Road
Suite 440
Atlanta, GA 30342

Phone

(404) 257-0799

Fax

(404) 503-2280

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Atlanta Pediatric Nutrition, Inc.

  • Pediatric Nutrition Registered Dietitian
  • Woodstock, GA
  • NPI 1558096479
  NPD (past)
• The Childrens Center for Digestive Health Care LLC

  • Pediatric Gastroenterology Physician
  • Atlanta, GA
  • NPI 1457329989
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1508835638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993-D JOHNSON FERRY ROAD",
            "address_2": "SUITE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-257-0799",
            "fax_number": "404-503-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993-D JOHNSON FERRY ROAD",
            "address_2": "SUITE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-257-0799",
            "fax_number": "404-503-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "STANLEY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "GA",
            "license": "020977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002010011G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE PROVIDER IDS",
            "identifier": "52026134007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID REFERENCE PROVID",
            "identifier": "REF000016293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAIER",
            "identifier": "1000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO POS",
            "identifier": "2134605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1764658006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0052506",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE FAC INS",
            "identifier": "134520",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MC PPO PIN",
            "identifier": "4060324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Jason Cohen, PH.D.
• Rachel Caroline Cohen, PHARMD
• Rebecca Cohen, OT
• Reuven Zev Cohen, MD
• Solomon Cohen, DDS
• Stephanie Cohen, RDN, LD, CEDS-C
• Stuart Jay Cohen, MED EDS
• Rachel Gabrielle Cohn-Lynch, MS, CGC
• Amanda Cooper Cohn, M.D.
• Amy Lynnstarr Cohn, RDH

• Pediatric Gastroenterology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.