COOSA MEDICAL GROUP
NPI 1821046863
Specialist in Rome, GA

Active since May 04, 2006
126 THREE RIVERS DR NE, ROME, GA 30161(706) 295-0070(706) 235-1618 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jun 21, 2018 (2 updates tracked since 2018).

About Coosa Medical Group NPPES

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

COOSA MEDICAL GROUP (NPI 1821046863) is a healthcare organization registered as a specialist in Rome, Georgia and active in the NPI registry since May 2006. The organization lists Nancy C Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821046863
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOOSA MEDICAL GROUP
Location Address126 THREE RIVERS DR NERome, GA 30161-4999
Mailing Address126 Three Rivers Dr NeRome, GA 30161-4999 · (706) 295-0070 · Fax (706) 235-1618
Fax(706) 235-1618
Organization SubpartNo
Authorized OfficialNancy C SmithOffice Manager · (706) 238-5465
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1821046863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
126 THREE RIVERS DR NE, Rome, GA 30161

Other Identifiers 3

OtherCG3794GA · Railroad Medicare Group#
Medicaid300029189AGA
Medicaid300029189CGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coosa Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coosa Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1134103997
126 THREE RIVERS DR NE
Rome, GA 30161
(706) 295-0070
✔ PECOS✔ Accepts Medicare3.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Coosa Medical Group's NPI number?

The NPI number for Coosa Medical Group is 1821046863. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Coosa Medical Group located?

Coosa Medical Group is located at 126 Three Rivers Dr NE, Rome, GA 30161. The listed phone number is (706) 295-0070.

What is Coosa Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Coosa Medical Group enrolled in Medicare?

Yes. Coosa Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coosa Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Coosa Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coosa Medical Group accept?

Health plans from Alliant Health Plans, Inc. list Coosa Medical Group 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.

When was this NPI record last updated?

The NPPES record for Coosa Medical Group was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.