Dr. Neysa Alice Coker, D.M.D., M.D.
Dentist, Oral and Maxillofacial Surgery in Marietta, GA. Individual provider (NPI-1).
NPI number1760624332
StatusActive
Last updated in NPPESJun 29, 2024
Details
- NPI
- 1760624332
- Entity type
- Individual (NPI-1)
- Name
- Dr. Neysa Alice Coker
- Credential
- D.M.D., M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2009
- Certification date
- Jun 29, 2024
- Last updated
- Jun 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Jan 1, 2020 to Jan 1, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DN014110 | GA | Yes |
Practice location
598 Nancy St Nw Ste 150Marietta, GA 30060-1377
Phone 770-672-5629
Mailing address
85 Golf Crest Dr Ste 209Acworth, GA 30101-2698
Phone 770-672-5629
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