Individual provider Active NPI

Charles David Cohn, MD

  • Internal Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1538168232
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047722 Issued in GA
Practice address
755 Mount Vernon Hwy NE
Ste 400
Sandy Springs, GA 30328-4274
Phone
(404) 252-4100
Fax
(404) 252-6740
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047722 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE
Ste 400
Sandy Springs, GA 30328-4274

Mailing address

755 Mount Vernon Hwy NE
Ste 400
Sandy Springs, GA 30328-4274
Phone (404) 252-4100

Other identifiers 1

IdentifierTypeStateIssuer
809263612DMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MVIM@Northside.gwaydirect.com Direct

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
I20040818000532 GA Practitioner - Internal Medicine 7113990078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

755 Mount Vernon Hwy NE 400
Sandy Springs, GA 30328-4279
Phone (404) 252-4100

Hospital & facility affiliations

  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Central HH Care, an Amedisys Company Home health agency, Atlanta, GA, CCN 117039
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
88.92 of 100Reported as individual
Quality
89.67
Promoting interoperability
82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047722GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Sep 1, 2012 Accepting new patients
Northside Primary Care Professional Services,LLC Current Accepting new patients
Piedmont Cardiology of Atlanta, LLC Past Accepting new patients
Perimeter Internal Medicine Associates, LLC Internal Medicine PastSince Oct 1, 2007 Accepting new patients

Locations

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

875 Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30342
Phone (404) 497-1020

755 Mount Vernon Hwy NE
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-4100

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1538168232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "STE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-252-4100",
            "fax_number": "404-252-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "STE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-252-4100",
            "fax_number": "404-252-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809263612D",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MVIM@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "755 Mount Vernon Hwy NE",
            "address_2": "Ste 400",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.