Active NPI
Charles Francis Cowart, MD
- Internal Medicine Physician
- Douglas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 029161
- Practice address
- 1101 Ocilla Rd
Douglas, GA 31533 - Phone
- (912) 384-1900
- Fax
- (912) 384-6885
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 029161 | GA | |
| Internal Medicine Physician | 207R00000X | 029161 | GA | Primary |
Addresses
Primary practice location
1101 Ocilla Rd
Douglas, GA 31533
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00338599D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Emory University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Georgia, Inc. | Emergency Medicine | Current | Accepting new patients |
| Coffee Regional Medical Center, Inc | Current | Accepting new patients | |
| Coffee Regional Medical Center, Inc | Current | Accepting new patients | |
| Nes Georgia, Inc. | Emergency Medicine | Current | Accepting new patients |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
| Coffee Regional Medical Center | Current | Accepting new patients |
Locations
1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641
205 Shirley Ave
Douglas, GA 31533
Phone (912) 260-5400
163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781
200 Corporate Blvd
Lafayette, LA 70508
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Douglas, GA
- NPI 1437120946
-
- Emergency Medicine Physician
- Douglas, GA
- NPI 1023353489
-
- Emergency Medicine Physician
- Hazlehurst, GA
- NPI 1144201559
-
- Clinic/Center
- Douglas, GA
- NPI 1992999205
-
dba Coffee Regional First Care
- Rural Health Clinic/Center
- Douglas, GA
- NPI 1639211956
-
- Emergency Medicine Physician
- Waynesboro, GA
- NPI 1649573999
-
- Emergency Medicine Physician
- Newark, NJ
- NPI 1912411331
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coffee Regional Medical Center
- General Acute Care Hospital
- Douglas, GA
- NPI 1760419527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1871694448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OCILLA RD",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "31533",
"telephone_number": "912-384-1900",
"fax_number": "912-384-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWART",
"first_name": "CHARLES",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "029161",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "029161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00338599D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
- Robert Darrell Collins, D.O.
- Compassionate Behavioral Health
- Costrini & Meadows, PC
- Alexis Courson, NP
- Jessica Lynne Courson, NP-C
- Rosa Crawford, PA-C
- CRH Orthopedic Clinic, LLC
- CRH Physician Practices LLC
- CRH Physician Practices LLC (CRH Family Practice)
- CRH Physician Practices LLC (CRH Pediatric Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.