Active NPI
Kristina Sarahmae Coggins, PA-C
- Pediatrics Physician
- Bremen, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13204
- Practice address
- 222 Gordon St
Bremen, GA 30110-1519 - Phone
- (770) 537-1234
- NPI assigned
- Jul 24, 2025
- Last updated
- Jul 24, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13204 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3:16 Urgent Care LLC | Current | Accepting new patients | |
| 316 Family Medicine | Current | 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
- https://api.platform.athenahealth.com/22071/brand/1/csg/1/fhir/r4
- 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.
-
- Urgent Care Clinic/Center
- Bremen, GA
- NPI 1295695781
-
- Family Medicine Physician
- Bremen, GA
- NPI 1861915647
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
- Carrollton Surgical Group, P. a.
- CHC - Haralson Nursing & Rehab Ctr, LLC (Haralson Nursing & Rehabilitation Center.)
- Kelanie Williamson Clotfelter, ED.S
- Kimberly E Cobb, REGISTERED NURSE
- Constance Faith Cochran
- Katie Lynn Cooper
- Jennifer Cosolito, MSW
- Dennis Lee Cowart, OD
- Hope Powell Crowson, B.S.
- Carolyn Marie Davis, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.