JEFF COHENOUR, MD, PC (NPI# 1619012879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619012879 |
| Entity Type | Organization |
| Organization Name | JEFF COHENOUR, MD, PC |
| Practice Address |
330 Alcovy St Monroe GA 30655-2140 |
| Mailing Address |
1605 Lakes Pkwy Pathology Dept Lawrenceville GA 30043-5858 |
| Practice Telephone | 7702671891 |
| Practice Fax Number | 7702671798 |
| Mailing Telephone | 7702374520 |
| Mailing Fax Number | 7702371920 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | JEFF COHENOUR (OWNER) |
| Authorized Official Telephone | 7702671891 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 015238 | GA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS | 033120 | 01 |
| Street Address |
330 ALCOVY ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350498 | David B. Austin | Anesthesiology | 330 Alcovy St, Wrmc - Anesthesiology, Monroe, GA 30655-2140 | 2005-07-20 |
| 1922380476 | Care Plus Walton Hospitalists, LLC | Hospitalist | 330 Alcovy St, Monroe, GA 30655-2140 | 2011-09-11 |
| 1396077756 | Youn Ju Lee | Nurse Practitioner | 330 Alcovy St, Monroe, GA 30655-2140 | 2010-02-09 |
| 1023280963 | Alcovy Emergency Physicians | Emergency Medicine | 330 Alcovy St, Monroe, GA 30655-2140 | 2008-04-01 |
| 1619171550 | Walton Hospitalist Associates | Hospitalist | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-06-13 |
| 1265642946 | Walton Anesthesia Associates, PC | Anesthesiology | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-05-23 |
| 1073632600 | Premier Anesthesia Associates | Nurse Anesthetist, Certified Registered | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-03-28 |
| 1760527915 | Jeff Cohenour | Pathology | 330 Alcovy St, Monroe, GA 30655-2140 | 2007-02-21 |
| 1881612836 | Brittney L Marler | Physician Assistant | 330 Alcovy St, Monroe, GA 30655-2140 | 2006-07-18 |
| 1174541379 | Michael A Morgenstern | Emergency Medicine | 330 Alcovy St, Monroe, GA 30655-2140 | 2006-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.