Miguel E. Cossio M.D., P.C.
Organization Active NPI Internal Medicine Physician · Madison, GA
NPI 1871545673 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1871545673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 025337 (GA)
- Legal business name
- MIGUEL E. COSSIO M.D., P.C.
- Practice address
- 1075 S Main St
Madison, GA 30650-2033 - Phone
- (706) 342-9664
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Miguel E. Cossio, M.D.
- Title
- Owner
- Phone
- (706) 342-9664
Practitioners 1
-
Miguel Eduardo Cossio, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060104000060 | GA | Part B Supplier - Clinic/Group Practice | 4981626058 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, GA |
National Provider Directory
Locations
1075 S Main St
Madison, GA 30650
Phone (706) 342-3103
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHCEAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 025337 | GA | Yes |
Addresses
Primary practice location
1075 S Main St
Madison, GA 30650-2033
Mailing address
1075 S Main St
Madison, GA 30650-2033
Phone (706) 342-9664
Other providers in Madison, GA
- Davis Edward McHugh
- Medical Outreach Services of Madison PC
- Medics Home Health Services, Inc
- Sergio T Mejias
- Michael C. Montgomery D.M.D.,P.C.
- Michael Clinton Montgomery
- Moore Health Inc.
- Edmetris Moore-Donald
- William David Moore Sr.
- Morgan County Board of Commissioners HDM
All providers in Madison, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.