Ron W. Cole, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1539 Issued in GA

Practice address

200 N Lewis St
Lagrange, GA 30240-2738

Phone

(706) 594-6073

Fax

(706) 608-9028

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Enj Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lagrange, GA
  • NPI 1902320542
  NPD (past)
• Jasmine Naheed, MDPC, LLC

  • Psychiatry Physician
  • Lagrange, GA
  • NPI 1952602823
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1770549776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800277",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302400005",
            "telephone_number": "706-594-6073",
            "fax_number": "706-608-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402738",
            "telephone_number": "706-594-6073",
            "fax_number": "706-608-9028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Dr",
            "address_2": "Suite 705",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404130",
            "country_code": "US",
            "telephone_number": "706-885-0111",
            "fax_number": "706-885-0607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "RON",
        "middle_name": "W.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001539",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000460215H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460215A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Shevelle Clinton-Graves, MSW
• Amanda Carpenter Close, APRN, CPNP-PC
• Amy Beckman Cobb, ARNP
• Heather Tomlinson Coggins, MPA, RD, LD
• John Robert Coggins Jr., M.D.
• Susan R Colgrove, CRNP
• Robert R Comerford, MD
• Comprehensive Therapeutics LTD
• Connecticut General Life Insurance Company
• Hanna Cook

• Psychologist in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.