Active NPI
Virginia Parramore Cochran, N.P.
- Pediatric Nurse Practitioner
- Valdosta, GA
National Provider Identifier
1760431191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN154552
- Practice address
- 406 M Northside Drive
Valdosta, GA 31602-1853 - Phone
- (229) 241-0059
- Fax
- (229) 241-2088
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN154552 | GA | Primary |
Addresses
Primary practice location
406 M Northside Drive
Valdosta, GA 31602-1853
Mailing address
406 M Northside Drive
Valdosta, GA 31602-1853
Phone (229) 241-0059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 354686497F | Medicaid | GA | |
| 354686497D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN154552 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Pediatric Clinic, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10369/brand/1/csg/1/fhir/r4
- virginia.cochran.1@10369.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Valdosta, GA
- NPI 1982858767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1760431191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 M NORTHSIDE DRIVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021853",
"telephone_number": "229-241-0059",
"fax_number": "229-241-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 M NORTHSIDE DRIVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021853",
"telephone_number": "229-241-0059",
"fax_number": "229-241-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "VIRGINIA",
"middle_name": "PARRAMORE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN154552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "354686497F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "354686497D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.