Individual provider Active NPI

Kristina Sarahmae Coggins, PA-C

  • Pediatrics Physician
  • Bremen, GA
National Provider Identifier
1922980556
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13204 Issued in GA
Practice address
222 Gordon St
Bremen, GA 30110-1519
Phone
(770) 537-1234
NPI assigned
Jul 24, 2025
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 13204 GA
Pediatrics Physician 208000000X 13204 GA Primary

Addresses

Primary practice location

222 Gordon St
Bremen, GA 30110-1519

Mailing address

320 Gordon St Apt B
Bremen, GA 30110-1521
Phone (678) 416-3398

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028004087 GA Practitioner - Physician Assistant 4880183078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

320 Gordon St Apt B
Bremen, GA 30110-1521

PO Box
Suite 728
Bremen, GA 30110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13204GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
3:16 Urgent Care LLC CurrentSince Jan 14, 2026 Accepting new patients
316 Family Medicine CurrentSince Aug 4, 2025 Accepting new patients

Locations

1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660

222 Gordon St
Bremen, GA 30110
Phone (770) 537-1234

820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22071/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristina.coggins.1@22071.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1922980556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GORDON ST APT B",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301101521",
            "telephone_number": "678-416-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 GORDON ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301101519",
            "telephone_number": "770-537-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGINS",
        "first_name": "KRISTINA",
        "middle_name": "SARAHMAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "13204",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "13204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

Verify at the official NPI Registry.