NPIMap

Organization Active NPI

Coker Pediatrics LLC

  • Pediatrics Physician
  • Griffin, GA
National Provider Identifier
1871707489
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
056276 Issued in GA
Legal business name
COKER PEDIATRICS LLC
Practice address
14557 Highway 19
Suite a
Griffin, GA 30224-9582
Phone
(678) 688-1580
Fax
(678) 688-1594
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Mark Allen Coker, M.D.NPI 1265516892
Title
Member
Phone
(678) 688-1580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 056276 GA Primary

Addresses

Primary practice location

14557 Highway 19
Suite a
Griffin, GA 30224-9582

Mailing address

14557 Highway 19
Suite a
Griffin, GA 30224-9582
Phone (678) 688-1580

Other identifiers 1

IdentifierTypeStateIssuer
579118048JMedicaidGA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1068782Coker Pediatrics LLC14557 Highway 19, Griffin, GA 30224ComplianceNov 16, 2027

National Provider Directory

National Provider Directory

Locations

14557 Highway 19
Griffin, GA 30224
Phone (678) 688-1580

14557 Highway 19
Ste A
Griffin, GA 30224
Phone 6786881580 ext. 107

Interoperability endpoints

  • Direct secure messaging: amy.rush@cokerpediatrics.gadirect.net
  • Direct secure messaging: mark.coker@cokerpediatrics.gadirect.net
  • Direct secure messaging: mary.bauch@cokerpediatrics.gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBDAA
  • Direct secure messaging: tracey.baker@cokerpediatrics.gadirect.net
  • Direct secure messaging: amelia.harvey@cokerpediatrics.gadirect.net

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1871707489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 HIGHWAY 19",
            "address_2": "SUITE A",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302249582",
            "telephone_number": "678-688-1580",
            "fax_number": "678-688-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 HIGHWAY 19",
            "address_2": "SUITE A",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302249582",
            "telephone_number": "678-688-1580",
            "fax_number": "678-688-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-688-1580",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "056276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579118048J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.