Jonathan Adam Coble, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3143 Issued in TN

Practice address

45 N Dixie Ave
Cookeville, TN 38501-3372

Phone

(931) 526-2022

Fax

(931) 528-1230

NPI assigned

Sep 4, 2013

Sex

Male

Sole proprietor

Yes

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Garrett C ShepherdGroup PAC ID 6002044211, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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.

• Dr Garrett C Shepherd

  • Optometrist
  • Cookeville, TN
  • NPI 1629560438
  Medicare reassignment Care Compare group NPD
• Advanced Eye Care of Tennessee, PLLC

  • Optometrist
  • Cookeville, TN
  • NPI 1588559835
  Medicare reassignment NPD

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1689009177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N DIXIE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013372",
            "telephone_number": "931-526-2022",
            "fax_number": "931-528-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N DIXIE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013372",
            "telephone_number": "931-526-2022",
            "fax_number": "931-528-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLE",
        "first_name": "JONATHAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher D Climaco, M.D.
• Heidi L Clopton, OTRL
• Jason C Clopton, O.D.
• Coalesce Medical Services LLC
• Coalesce Social Services, Inc.
• Joshua Coffell, LMT
• Dawn Coitrone
• Michael E Cole, MD
• Shelnessa Murlene Cole, RN
• Jordan Katherine Collier

• Optometrist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.