JERRY DEWAYNE COOPER (NPI# 1396728598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396728598 |
Entity Type | Individual |
Full Name | JERRY DEWAYNE COOPER |
Credential | MD |
Practice Address |
275 Collier Rd Nw Suite 290 Atlanta GA 30309-1709 |
Practice Telephone | 4043523300 |
Practice Fax Number | 4043529453 |
Mailing Telephone | 4043523300 |
Mailing Fax Number | 4043529453 |
Enumeration Date | 2005-11-22 |
Last Update Date | 2013-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
013262 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00134142G | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396863734 | Jerry Edward Cooper | Dentist | 708 1st Ave S, Altoona, IA 50009-1717 | 2007-03-26 |
1942299151 | Jerry D Cooper | Podiatrist | 2565 Channing Way, Idaho Falls, ID 83404-7516 | 2005-10-19 |
1366754368 | Jerry David Cooper | Dietitian, Registered | 3451 E 12th St, Oakland, CA 94601-3463 | 2010-07-07 |
1235385360 | Jerry Cooper | Community Health Worker | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2008-08-08 |
1710080627 | Jerry Lee Cooper | Specialist | 1462 Montreal Rd, Suite 411, Tucker, GA 30084-6929 | 2006-09-06 |
Street Address |
275 COLLIER RD NW SUITE 290 |
City | ATLANTA |
State | GA |
Zip Code | 30309-1709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285637231 | Carlos E Lopez | Internal Medicine | 275 Collier Rd Nw, Ste 450, Atlanta, GA 30309-1709 | 2005-05-23 |
1255820759 | Jordan Arielle Bicher | Physician Assistant | 275 Collier Rd Nw, Atlanta, GA 30309-1709 | 2018-05-09 |
1053865956 | Kathryn Anne Folkner | Physician Assistant | 275 Collier Rd Nw, Suite 450, Atlanta, GA 30309-1709 | 2016-08-09 |
1144680364 | Preethy Koothur Mathew | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2016-03-01 |
1659753200 | Jacob Allen | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2015-06-19 |
1932589892 | Joseph M Woods Iv, Md, LLC | Specialist | 275 Collier Rd Nw, Suite 200, Atlanta, GA 30309-1709 | 2015-06-05 |
1790176501 | Kristin Sparks | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2015-02-16 |
1023409836 | Andrew Matey | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2015-02-16 |
1720488869 | Mariae Kilroy | Nurse Practitioner | 275 Collier Rd Nw, Suite 100-c, Atlanta, GA 30309-1709 | 2014-08-26 |
1295135358 | Judith Cox | Advanced Practice Midwife | 275 Collier Rd Nw, Suite 100 C, Atlanta, GA 30309-1709 | 2014-08-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
Find all providers in zip 30309 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
1194060483 | Hypertension and Kidney Center LLC | Internal Medicine | 6069 Harleston Rd, Atlanta, GA 30328-4105 | 2012-11-28 |
1659627248 | Tina Thomas | Internal Medicine | 5671 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-5019 | 2012-08-01 |
1437449741 | Srijita Kumar | Internal Medicine | 5667 Peachtree Dunwoody Rd Ste 260, Atlanta, GA 30342-1714 | 2011-04-08 |
1548562580 | Rahul Bhardwaj | Internal Medicine | 1639 Pierce Drive Ste 338, Atlanta, GA 30322 | 2010-11-24 |
1063740793 | Midtown Atlanta Nephrology PC | Internal Medicine | 650 Peachtree St Ne, Suite 1650, Atlanta, GA 30308-2310 | 2009-11-18 |
1407026818 | Jason Cobb | Internal Medicine | 550 Peachtree Street Mot 7th Floor Nephrology, Atlanta, GA 30308 | 2008-03-03 |
1558547943 | Roderic L. Woodson II | Internal Medicine | 105 Collier Rd N.w., Suite 1000, Atlanta, GA 30309 | 2008-01-15 |
1710160023 | Leonard Gyebi | Internal Medicine | 2001 Peachtree Rd Ne Ste 560, Atlanta, GA 30309-1476 | 2007-12-10 |
Find all providers in ATLANTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.