Active NPI
Robert Alan Coles, MD
- Interventional Pain Medicine Physician
- Hixson, TN
National Provider Identifier
1912938291
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD0000023942
- Practice address
- 1012 Executive Dr
Hixson, TN 37343-3993 - Phone
- (423) 756-7246
- Fax
- (423) 756-7247
- NPI assigned
- Jul 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | MD0000023942 | TN | Primary |
Addresses
Primary practice location
1012 Executive Dr
Hixson, TN 37343-3993
Mailing address
10075 Larkspur Dr
Ooltewah, TN 37363-6528
Phone (423) 364-4112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000735501B | Medicaid | GA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000023942 | TN | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Center for Pain Medicine PC | Interventional Pain Medicine | Past | Accepting new patients |
| Emergency Medical Associates | Past | Accepting new patients | |
| Emergency Medical Associates | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Interventional Pain Medicine Physician
- Hixson, TN
- NPI 1760408207
Interventional Pain Medicine
-
- Emergency Care Clinic/Center
- Hixson, TN
- NPI 1457381857
-
- Emergency Care Clinic/Center
- Chattanooga, TN
- NPI 1982645396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1912938291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 LARKSPUR DR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636528",
"telephone_number": "423-364-4112",
"fax_number": "423-756-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 EXECUTIVE DR",
"city": "HIXSON",
"state": "TN",
"postal_code": "373433993",
"telephone_number": "423-756-7246",
"fax_number": "423-756-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLES",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TN",
"license": "MD0000023942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000735501B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.