NPI age
20 years
Enumerated 2006-05-04
● Active Type 2 · Organization
Coosa Medical Group
Coosa Medical Group is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Office Manager
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
126 Three Rivers Dr Ne
Rome, GA 301614999
Mailing address
126 Three Rivers Dr Ne
Rome, GA 301614999
Authorized official
Nancy C Smith
Office Manager
📞 7062385465
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Leone Cordle, PA-C Physician Assistant NPI 1639153810
- William Naguszewski, M.D. Psychiatry & Neurology NPI 1134103997
Specialties
-
Specialist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300029189C | |
| 01 (GA) | CG3794 | RAILROAD MEDICARE GROUP# |
| 05 (GA) | 300029189A |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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