OrganizationActiveAccepts Medicare
Coosa Medical Group
NPI 1821046863 · Specialist · Rome, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1821046863
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Nancy Smith, Office Manager(706) 238-5465
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
126 Three Rivers Dr Ne
Rome, GA 30161-4999
Phone: (706) 295-0070
Fax: (706) 235-1618
Street-level locationGet directions
Mailing address
126 Three Rivers Dr Ne
Rome, GA 30161-4999
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.