Active NPI
Jerome J Cohan, NP
- Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 011829
- Practice address
- 1018 Chase Dr
Johnson City, TN 37604-1402 - Phone
- (423) 282-3379
- Fax
- (423) 430-6227
- NPI assigned
- Dec 1, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 011829 | TN | Primary |
Addresses
Primary practice location
1018 Chase Dr
Johnson City, TN 37604-1402
Mailing address
1018 Chase Dr
Johnson City, TN 37604-1402
Phone (423) 282-3379
Other practice location 1
926 W Oakland Ave Ste 206
Johnson City, TN 37604-1445
Phone (423) 282-3379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1018 Chase Dr
Johnson City, TN 37604-1402
Phone 42328233791001
2426 Lee Hwy
Suite 104
Bristol, VA 24202-5967
Phone (423) 282-3379
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011829 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Health Solutions,LLC | Current | Accepting new patients | |
| Pain Medicine Associates, P.C. | Past | Accepting new patients | |
| Pain Medicine Associates, P.C. | Past | Accepting new patients |
Locations
1018 Chase Dr
Johnson City, TN 37604
Phone (423) 282-3379
926 W Oakland Ave
Ste 206
Johnson City, TN 37604
Phone (423) 282-3379
482 Bradley St SW
Abingdon, VA 24210
Phone (276) 451-3996
2426 Lee Hwy
Ste 104
Bristol, VA 24202
Phone (423) 282-3379
261 North St
Bristol, VA 24201
Phone (276) 254-5445
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Johnson City, TN
- NPI 1184150229
VA
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Johnson City, TN
- NPI 1477594364
-
- Psychologist
- Johnson City, TN
- NPI 1962655696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1528042827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 CHASE DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041402",
"telephone_number": "423-282-3379",
"fax_number": "423-430-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 CHASE DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041402",
"telephone_number": "423-282-3379",
"fax_number": "423-430-6227"
}
],
"practiceLocations": [
{
"address_1": "926 W Oakland Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376041445",
"country_code": "US",
"telephone_number": "423-282-3379",
"fax_number": "423-430-6227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHAN",
"first_name": "JEROME",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "011829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.