Evan A Cole, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015219 Issued in GA

Practice address

200 Galleria Pkwy SE Ste 1810
Atlanta, GA 30339-5946

Phone

(770) 953-6666

NPI assigned

Jun 28, 2016

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alex Cole DMD LLC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1649970336
  NPD Authorized official
• C. Celeste Coggin, D.M.D., P.C.

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1902973498
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1639520976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 POWERS FERRY RD SE",
            "address_2": "SUITE 190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395011",
            "telephone_number": "770-953-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GALLERIA PKWY SE STE 1810",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395946",
            "telephone_number": "770-953-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "EVAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lili Cole-Clark
• Alexis Cole
• Andrea Michelle Cole, CNM
• Callaway Cole
• Erin Cole, LAT, ATC
• Harvey Penfield Cole III, MD
• Jennifer Lynne Cole, M.ED
• Kaitlin Laurie Cole
• Leslie L Cole
• Mary Ann Cole, R.N.,B.S.N.,C.R.N.I.

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.