Jessica Kathleen Cotta, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN308622 Issued in GA

Practice address

380 Dahlonega St Ste 100
Cumming, GA 30040-8219

Phone

(678) 771-8468

NPI assigned

Feb 23, 2023

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

Other names 1

• Jessica Kathleen Dumov Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Carter Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Alpharetta, GA
  • NPI 1013390590
  NPD
• Carter Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Jefferson, GA
  • NPI 1518725308
  NPD (past)

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1972201465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 DAHLONEGA ST STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408219",
            "telephone_number": "678-771-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 DAHLONEGA ST STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408219",
            "telephone_number": "678-771-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTA",
        "first_name": "JESSICA",
        "middle_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "RN308622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DUMOV",
            "middle_name": "KATHLEEN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlyn Lee Cortner, DC
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Nicole Costello, RBT
• Heather Cotton
• Cheri Brook Couch
• William Max Couch Jr., D.D.S., M.D.S.
• Counseling, Play Therapy & More, LLC
• Country Gardens Lanier

• Addiction (Substance Use Disorder) Registered Nurse in Cumming, GA
• Providers in Cumming, GA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.