Individual provider Active NPI

Natalie Olivia Ford Cozart, D.M.D.

  • Pediatric Dentistry
  • Cordele, GA
National Provider Identifier
1770909244
Registry record updated Jun 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN014780 Issued in GA
Practice address
301 E 16TH Ave
Cordele, GA 31015-1625
Phone
(229) 273-3838
NPI assigned
Mar 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN014780 GA Primary

Addresses

Primary practice location

301 E 16TH Ave
Cordele, GA 31015-1625

Mailing address

2447 Carlton Way
Macon, GA 31204-2431
Phone (478) 747-0542

Other names 1

  • Natalie Olivia Ford Other name

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

State licenses

LicenseStateTypeSpecialty
DN014780GAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466899200000",
    "number": "1770909244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 CARLTON WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042431",
            "telephone_number": "478-747-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151625",
            "telephone_number": "229-273-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZART",
        "first_name": "NATALIE",
        "middle_name": "OLIVIA FORD",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-08",
        "last_updated": "2016-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "FORD",
            "middle_name": "OLIVIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; 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.