David M Cotter, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4036 Issued in GA

Practice address

103 Amberleigh Dr SE
White, GA 30184-3547

Phone

(678) 977-7538

NPI assigned

Sep 22, 2006

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lavender Inpatient Services LLC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1902215767
  NPD (past)
• Mount Lassen Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cartersville, GA
  • NPI 1730598590
  NPD (past)
• Northside Cherokee Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Atlanta, GA
  • NPI 1740515618

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1841399953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 AMBERLEIGH DR SE",
            "city": "WHITE",
            "state": "GA",
            "postal_code": "301843547",
            "telephone_number": "678-977-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 AMBERLEIGH DR SE",
            "city": "WHITE",
            "state": "GA",
            "postal_code": "301843547",
            "telephone_number": "678-977-7538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 W Fort St.",
            "address_2": "CRH 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024535",
            "country_code": "US",
            "telephone_number": "208-422-1018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4036",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "0040369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "511I970319",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolas J Collini
• Country Roads Hospice
• Melenie J Crutcher, REGISTERED NURSE
• Latitia Dye
• Margaret Rose Fonseca, ED.S., MA
• Hickory Log Vocational School Inc

• Physician Assistant in White, GA
• Providers in White, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.