IndividualActive
Austin Cottam
NPI 1790426245 · Sports Medicine (Emergency Medicine) Physician · Jackson, MS
Provider details
- NPI number
- 1790426245
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 35073 (MS)
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.