Jonathan P Cobb, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C56 Issued in AL

Practice address

815 N McKenzie St Ste B
Foley, AL 36535-3518

Phone

(251) 943-5115

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Cobb and Terrezza OD PCGroup PAC ID 0749534634, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/
• Direct secure messaging: jonathan.cobb@direct.revolutionehr.com

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.

• Cobb and Terrezza OD PC

  • Optometrist
  • Foley, AL
  • NPI 1841793494
  Medicare reassignment Care Compare group NPD
• Poarch Band of Creek Indians

  dba Poarch Creek Indian Health Department

  • Federally Qualified Health Center (FQHC)
  • Atmore, AL
  • NPI 1902916489

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1538455985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N MCKENZIE ST STE B",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N MCKENZIE ST STE B",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353518",
            "telephone_number": "251-943-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C56",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Physical Medicine Inc
• Coastal Spine and Pain
• Coastal Surgery, PC
• Coastal Therapeutics, Inc (Coastal Therapeutics)
• Cobb and Terrezza OD PC
• Anna Grace Cole
• Kaleb Jordon Coleman, PA
• Mary Coleman
• Phillip Comalander, CRNP
• Comfort Care Coastal Home Health, LLC (Aveanna Home Health)

• Optometrist in Foley, AL
• Providers in Foley, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.

Verify at the official NPI Registry.