Individual provider Active NPI

Jerome J Cohan, NP

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1528042827
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
011829 Issued in TN
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

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070416000607 TN Practitioner - Nurse Practitioner 7315042660 Reassigns benefits to 1 organization
I20220523001585 VA Practitioner - Nurse Practitioner 7315042660 Reassigns benefits to 1 organization

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
Catalyst Health Solutions,LLCGroup PAC ID 0749615672, 9 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
011829TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Health Solutions,LLC CurrentSince Dec 24, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.