Herbert Roswell Colcord

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN167054 Issued in GA

Practice address

3015 Lexington Rd
Athens, GA 30605-2491

Phone

(706) 613-3270

NPI assigned

Sep 5, 2018

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 GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Grady Memorial Hospital Corporation

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813

  Single Specialty

  Medicare reassignment NPD
• Highland Rivers Community Service Board

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1447256243

  Single Specialty

  Medicare reassignment NPD
• Grady Memorial Hospital Corporation

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD
• Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1164585543
  NPD

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1770065815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 BENTLEY PL",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300966128",
            "telephone_number": "404-731-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 LEXINGTON RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052491",
            "telephone_number": "706-613-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLCORD",
        "first_name": "HERBERT",
        "middle_name": "ROSWELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN167054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Coenen, LPC
• Rachel Lewis Cofield, CNM
• Patricia Coghlan
• Alexander Cohen, PH.D.
• Denita Coile, PSYD
• Cole Vision Corporation
• Griffin Benjamin Cole, LMSW
• Megan Cole, CNM
• Paul R Cole, LCSW
• Ronald Sinclair Cole, DMD

• Primary Care Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.