MEDICARE: COGGINS FAMILY MEDICAL CLINIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003978388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COGGINS FAMILY MEDICAL CLINIC INC

Provider Business Mailing Address
First Line	:	411 GRIFFIN ST
Second Line	:
City	:	WEST POINT
State	:	MS
Zip	:	39773-0000
Country	:	US
Telephone Number	:	662-494-5863
Fax Number	:	662-494-5287

Provider Business Practice Location Address
First Line	:	411 GRIFFIN ST
Second Line	:
City	:	WEST POINT
State	:	MS
Zip	:	39773-0000
Country	:	US
Telephone Number	:	662-494-5863
Fax Number	:	662-494-5287

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. KAY T COGGINS
Credential	:	FNP-BC
Telephone Number	:	662-494-5863

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	11/03/2010

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1710212261 — ANGELA KAYE HENRY PT
Practice Location Address:

124 WEST MISSION STREET
STRAWBERRY POINT, IA
52076-0000

Practice Phone: 563-933-2130
Practice Fax: 563-933-6133

1487618427 — ANTHONY J RIZZETTA DO
Practice Location Address:

1 EAST NEW YORK AVE , SHORE PHYSICIANS
SOMERS POINT, NJ
08244-0000

Practice Phone: 609-653-3500
Practice Fax: 609-926-4311

1861446056 — USHA IDNANI M.D.
Practice Location Address:

34052 LA PLAZA STREET , STE 105
DANA POINT, CA
92629-0000

Practice Phone: 949-276-6499
Practice Fax: 949-276-6498

1962444588 — STIRLING EYECARE CENTER
Practice Location Address:

166 POINT PLAZA
BUTLER, PA
16001-0000

Practice Phone: 724-285-2618
Practice Fax: 724-285-7507

1033216403 — MR. CECIL ERIC NELSON RPH
Practice Location Address:

BUILDING 361
PERRY POINT, MD
21902-0000

Practice Phone: 410-642-2411
Practice Fax: 410-642-1883

Directions to “COGGINS FAMILY MEDICAL CLINIC INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.