Individual provider Active NPI

Rebecca Smith Coman, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1982184438
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8876 Issued in GA
Practice address
5445 Meridian Mark Rd Ste 270
Atlanta, GA 30342-4766
Phone
(404) 843-2229
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8876 GA Primary

Addresses

Primary practice location

5445 Meridian Mark Rd Ste 270
Atlanta, GA 30342-4766

Mailing address

9600 Blackwell Rd Ste 500
Rockville, MD 20850-3783
Phone (301) 340-1188

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
I20180910000234 GA Practitioner - Physician Assistant 3072863224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8876GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Reproductive Specialists, LLC PastSince Sep 1, 2023 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Georgia Reproductive Spec 2 LLC PastSince Apr 25, 2021 Accepting new patients
Aylo Health, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1982184438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783",
            "telephone_number": "301-340-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 270",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424766",
            "telephone_number": "404-843-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMAN",
        "first_name": "REBECCA",
        "middle_name": "SMITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2021-04-19",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.