LOGAN CHARLES MCCOOL – Physical Medicine & Rehabilitation Physician, NPI 1396122370

LOGAN CHARLES MCCOOL is a healthcare provider. based in Douglas, Georgia. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold a License No. DO-06305 (IA). The NPI Number for LOGAN CHARLES MCCOOL is 1396122370

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN CHARLES MCCOOL
NPI
1396122370
Phone
(912) 383-9789
Address
110 Shirley Ave
Enumeration Date
29 April 2015
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
2817243050
Graduation Year
2015 (11 years ago)
PAC ID
7416252242
Group Practice PAC ID
1456606607
Professional Enrollment ID
I20240106000175
Address ID
IA503256500CL1401XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

314 PHYSICAL MEDICINE AND REHABILITATION in GA

Provider Addresses for LOGAN CHARLES MCCOOL

  • 110 Shirley Ave

    Douglas, GA 315332324

    Phone: (912) 383-9789

    Fax: (912) 383-9435

    Type: Location

  • 110 SHIRLEY AVE

    DOUGLAS, GA 315332324

    Phone: (912) 383-9789

    Type: Mailing

  • 1776 WOODSTEAD CT STE 208

    THE WOODLANDS, TX 773801480

    Phone: (281) 724-3050

    Type: Mailing

  • 1401 CAMPUS DR

    CLIVE, IA 503256500

    Phone: (515) 381-6519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $551.

Total Amount is formed as General ($551) + Research ($0) + Ownership ($0) = $551.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: SPR Therapeutics, Inc ($132).

Total Amount

$551

General + Research + Ownership

Payments

13

Total payment records

General Amount

$551

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200612000547IPhysical Medicine And RehabilitationGATBD
I20240106000175IPhysical Medicine And RehabilitationIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes20397$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg12145$0
20610Aspiration and/or injection of fluid from large joint8718$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study8148$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose7111$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456606607View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationIA
Physician AssistantTX

Reviews

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Frequently asked questions

How is LOGAN CHARLES MCCOOL identified in CMS data?
CMS-hosted NPPES data lists LOGAN CHARLES MCCOOL with NPI 1396122370.
Is LOGAN CHARLES MCCOOL listed as active for patients and plans?
The listing shows LOGAN CHARLES MCCOOL as active in the NPI system.
What is LOGAN CHARLES MCCOOL's specialty?
The listing groups LOGAN CHARLES MCCOOL with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Does LOGAN CHARLES MCCOOL list a practice location?
Patients near Douglas, Georgia may find LOGAN CHARLES MCCOOL in results; validate coverage separately.
Why does LOGAN CHARLES MCCOOL have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.