BERETTA CRAFT-COFFMAN P.A.-C
NPI 1285601880
Physician Assistant - Surgical in Canton, GA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
125 OAKSIDE CT STE 102, CANTON, GA 30114(770) 213-8376 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Mar 10, 2025, May 5, 2022 and 2 more (5 updates tracked since 2020).

About Beretta Craft-coffman P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERETTA CRAFT-COFFMAN P.A.-C (NPI 1285601880) is an individual surgical provider in Canton, Georgia, licensed in Georgia (002366) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285601880
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBERETTA CRAFT-COFFMANCredential: P.A.-C
Location Address125 OAKSIDE CT STE 102Canton, GA 30114-2498
Mailing Address626 Bent Creek DrEvans, GA 30809-7445 · (706) 833-8983
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 2, 2006
Last NPPES UpdateJune 20, 20255 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1285601880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in GA · 002366 Licensed in CO · PA.0004259 Licensed in FL · PA9106348 Licensed in NV · PA2198 Licensed in NC · 0010-10058 Licensed in MS · PA00325 Licensed in SC · 1199 Licensed in NV · PA0659 Licensed in TN · PA0000001672 Licensed in TX · PA09999 Licensed in VA · 0110007147
125 OAKSIDE CT STE 102, Canton, GA 30114

Secondary Practice Locations 2

Location 11225 N State StJackson, MS 39202-2064 · Phone (833) 672-8767
Location 23186 S Maryland PkwyLas Vegas, NV 89109-2317 · Phone (725) 433-7788

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Beretta Craft-coffman P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981691227
PECOS Enrollment IDI20040428000688, I20071126000119, I20250718003438
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15003
This procedure involves preparing a specific area of your body (trunk, arms, or legs) for a skin graft. The area is cleaned and treated to receive new skin, usually to aid in healing from a burn or wound. The size of the area treated is up to 100.0 sq cm or 1% of a child's body area.
207 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services20 patients
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002
This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.
35 services31 patients
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
26 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
125 OAKSIDE CT STE 102
CANTON, GA 30114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beretta Craft-coffman's NPI number?

The NPI number for Beretta Craft-coffman is 1285601880. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Beretta Craft-coffman located?

Beretta Craft-coffman practices at 125 Oakside Ct Ste 102, Canton, GA 30114. The listed phone number is (770) 213-8376.

What is Beretta Craft-coffman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Beretta Craft-coffman enrolled in Medicare?

Yes. Beretta Craft-coffman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beretta Craft-coffman accept?

Health plans from Molina Healthcare and Oscar Health Plan, Inc. list Beretta Craft-coffman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Beretta Craft-coffman affiliated with any hospitals?

According to CMS data, Beretta Craft-coffman is affiliated with Doctors Hospital, Mississippi Baptist Medical Center and Sunrise Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Beretta Craft-coffman was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.