Coleman Kidd Cosgrove

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO.2720 Issued in AL

Practice address

785 N Dean Rd Ste 300
Auburn, AL 36830-4034

Phone

(334) 734-5007

Fax

(334) 325-2306

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TN, CA3 enrollments

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 3

Specialty

Psychiatry

Education

Alabama College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Amh Enterprises LLC 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Amh Enterprises LLC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1588229843

  AL, Psychiatry, TN

  Medicare reassignment Care Compare group NPD
• Russellville Hospital Inc

  • Family Medicine Physician
  • Russellville, AL
  • NPI 1780232314

  AL

  Medicare reassignment NPD
• Ehab Yacoub MD Inc.

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713

  CA

  Medicare reassignment NPD
• Russellville Hospital Inc

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1508491093
  NPD

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1659877967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 STAPLES CT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 N DEAN RD STE 300",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304034",
            "telephone_number": "334-734-5007",
            "fax_number": "334-325-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "COLEMAN",
        "middle_name": "KIDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "304344",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "DO.2720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Family Chiropractic LLC
• Marilyn A Cornish, PHD
• Salvacion Hirang Coronado, M.D.
• Christopher John Correia, PH.D.
• Cosgrove Medical, Inc.
• Jeffrey Neal Cotten, PTA, AT
• Skylar Moore Couch, DNP, CRNP
• Counseling and Therapy Services, LLC
• Counseling Solutions of East Al, LLC
• Adrian Courville

• All providers in Auburn, AL
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.