Shontae Cogle

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

114 Shartom Dr
Augusta, GA 30907-4748

Phone

(706) 814-6777

Fax

(706) 814-6777

NPI assigned

Feb 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1689266900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3043",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143043",
            "telephone_number": "706-495-5364",
            "fax_number": "706-814-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SHARTOM DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074748",
            "telephone_number": "706-814-6777",
            "fax_number": "706-814-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGLE",
        "first_name": "SHONTAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Matthew Coffey, MD
• Janis S. Coffin, DO
• Amanda Coffman
• Paul L Coffman, P.A.-C
• Charlotte Coggins
• Michael Joseph Cohen, M.D.
• Morris J. Cohen, EDD
• Raven K. Cokley, LPC, NCC
• Carla Jean Colasurdo, DO
• Cold War Citizens Care LLC

• Home Health Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.