Charles Jacob Cohn, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

13126 Issued in SC

Practice address

1052A Huger Dr
Georgetown, SC 29440-3322

Phone

(843) 546-0223

Fax

(843) 545-0024

NPI assigned

Mar 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Waccamaw Kidney & Hypertension Specialists,P.a.

  • Nephrology Physician
  • Georgetown, SC
  • NPI 1972557494

  Nephrology, SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1649249103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2688",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294422688",
            "telephone_number": "843-546-0223",
            "fax_number": "843-545-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052A HUGER DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403322",
            "telephone_number": "843-546-0223",
            "fax_number": "843-545-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "CHARLES",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "13126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131262",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Orthopedics PA
• Coastal Eye Group, P.C.
• Coastal Eye Group, P.C.
• Coastal Optical Incorporated
• Shawanda L Cobb, LPC
• Shannon Michelle Colantuono, PA-C
• Emily Rose Coleman, PHARMD
• Malachy J Collet
• Natasha Nicolette Colvin
• Katherine Cook

• All providers in Georgetown, SC
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.