Jonathan Macfarlane Coakham, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

252299 Issued in NC

Practice address

2100 Stantonsburg Rd Ofc
Greenville, NC 27834-2818

Phone

(252) 847-4100

NPI assigned

Jul 8, 2019

Sex

Male

Sole proprietor

No

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.

• Capitol City Family Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1265548614

  LA

  Medicare reassignment Care Compare group NPD
• Capitol City Family Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1720965767
  Care Compare group NPD
• Capitol City Family Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1669258448
  Care Compare group NPD (past)
• Capitol City Family Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Plaquemine, LA
  • NPI 1801210133
  Care Compare group
• Capitol City Family Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1205613726
  Care Compare group
• Capitol City Family Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Zachary, LA
  • NPI 1407385958
  Care Compare group
• Capitol City Family Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Zachary, LA
  • NPI 1609683937
  Care Compare group
• Capitol City Family Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1962154542
  Care Compare group

Specialty

Psychiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol City Family Health Center Incorporated 41 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in LA

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

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2019.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1669034872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPTON CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589200",
            "telephone_number": "985-630-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD OFC",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-847-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Upton Ct Drive",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278589200",
            "country_code": "US",
            "telephone_number": "985-630-5872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Upton Ct Drive",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278589200",
            "country_code": "US",
            "telephone_number": "985-630-5872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COAKHAM",
        "first_name": "JONATHAN",
        "middle_name": "MACFARLANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "252299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 Stantonsburg Rd Ofc",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 Stantonsburg Rd Ofc",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret Ruth Clifton, M.D.
• Timothy Vernon Clifton, D.O.
• Victoria Elizabeth Clifton
• Garrett Cline
• Andrew Christopher Clouse, LCMHCA
• Michael Robert Coan, MD
• Coastal Carolina Cardiology, P.a.
• Coastal Pain Medicine, LLC
• Coastal Therapeutic Services
• Coastal Wellness Infusion Clinic PLLC

• All providers in Greenville, NC
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.