Individual provider Active NPI

Elizabeth Jane Coetzee, M.D.

  • Personal Emergency Response Attendant
  • Columbus, GA
National Provider Identifier
1881786903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
026243 Issued in GA
Practice address
9200 Marne Road
Columbus, GA 31905
Phone
(706) 544-3711
Fax
(706) 544-2144
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 026243 GA Primary

Addresses

Primary practice location

9200 Marne Road
Columbus, GA 31905

Mailing address

3965 Carriage Gate Dr
Duluth, GA 30096-5444
Phone (770) 623-3004

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026243GAMDPersonal Emergency Response Attendant
29214TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Past Accepting new patients
Community Memorial Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881786903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 CARRIAGE GATE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965444",
            "telephone_number": "770-623-3004",
            "fax_number": "770-623-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MARNE ROAD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-544-3711",
            "fax_number": "706-544-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COETZEE",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "GA",
            "license": "026243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.