Kendra A Cole, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

030406 Issued in GA

Practice address

3525 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-2725

Phone

(678) 417-6900

Fax

(770) 418-8580

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Duke University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cole Dermatology & Aesthetic Center, P.C.

  • Procedural Dermatology Physician
  • Duluth, GA
  • NPI 1114100377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1952382863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 HOLCOMB BRIDGE RD STE 100",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922725",
            "telephone_number": "678-417-6900",
            "fax_number": "770-418-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 HOLCOMB BRIDGE RD STE 100",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922725",
            "telephone_number": "678-417-6900",
            "fax_number": "770-418-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KENDRA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "030406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Love Adult Day Center
• Kares Clarke
• Nicholas James Claymore, BCBA
• Clinical Conversations, Inc
• Jennifer Cohrs
• Octavia Collie
• Lady Carolina Collins, CPNP-PC
• Connect Grow Thrive LLC
• Terri Conner, BCBA BEHAVIORANALYST
• Lisa Connor, CNM

• Specialist in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.

Verify at the official NPI Registry.