Active NPI
Louis Victor Cohen, M.D.
- Family Medicine Physician
- Marietta, GA
National Provider Identifier
1639260433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 022496
- Practice address
- 1230 Johnson Ferry PL
Suite A10
Marietta, GA 30068-2048 - Phone
- (770) 565-4317
- Fax
- (770) 565-4319
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 022496 | GA | Primary |
Addresses
Primary practice location
1230 Johnson Ferry PL
Suite A10
Marietta, GA 30068-2048
Mailing address
1230 Johnson Ferry PL
Suite A10
Marietta, GA 30068-2048
Phone (770) 565-4317
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Family Medicine | Current | Accepting new patients |
| Privia Pediatric Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Family Medicine | Current | Accepting new patients |
| Piedmont Providers LLC | Past | Accepting new patients |
Locations
101 Yorktown Dr
Ste 102
Fayetteville, GA 30214
Phone (770) 460-4281
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
950 N Glebe Rd
#4000
Arlington, VA 22203
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
Family Medicine
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
Family Medicine
-
- Pediatrics Physician
- Fayetteville, GA
- NPI 1710385513
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1639260433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 JOHNSON FERRY PL",
"address_2": "SUITE A10",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682048",
"telephone_number": "770-565-4317",
"fax_number": "770-565-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 JOHNSON FERRY PL",
"address_2": "SUITE A10",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682048",
"telephone_number": "770-565-4317",
"fax_number": "770-565-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "LOUIS",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "022496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.