Active NPI
Natalie Olivia Ford Cozart, D.M.D.
- Pediatric Dentistry
- Cordele, GA
National Provider Identifier
1770909244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN014780
- 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
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 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN014780 | GA | MD | Pediatric 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.