Jeff Cohenour, MD, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

015238 Issued in GA

Legal business name

JEFF COHENOUR, MD, PC

Practice address

330 Alcovy St
Monroe, GA 30655-2140

Phone

(770) 267-1891

Fax

(770) 267-1798

NPI assigned

Feb 21, 2007

Last updated

Jun 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Cohenour, MDNPI 1760527915

Title

Owner

Phone

(770) 267-1891

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeff Cohenour, MD

  • Anatomic Pathology Physician
  • Monroe, GA
  • NPI 1760527915
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1619012879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 LAKES PKWY",
            "address_2": "PATHOLOGY DEPT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435858",
            "telephone_number": "770-237-4520",
            "fax_number": "770-237-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552140",
            "telephone_number": "770-267-1891",
            "fax_number": "770-267-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF COHENOUR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "COHENOUR",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-267-1891",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "015238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "033120",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ledasha Jackson, MS
• Richard Keith Jacob Jr., MD
• James E Dubose DMD PC
• Bhavin H Jani, MD
• Gerald Pierre Jean, NURSE PRACTITIONER
• Jamie Jenkins
• Joe H. Dew, O. D. P. a.
• Cindi Johnson, MSPT
• Keysia Johnson
• Stephen Blake Jones, PT, DPT

• Clinical Medical Laboratory in Monroe, GA
• Providers in Monroe, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.