MRS. MARY LANE COOPER (NPI# 1508116765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508116765 |
| Entity Type | Individual |
| Full Name | MRS. MARY LANE COOPER |
| Credential | PA/C |
| Practice Address |
3609 Bill Hodges Rd Claxton GA 30417-6235 |
| Practice Telephone | 9127394807 |
| Practice Fax Number | 9127392939 |
| Mailing Telephone | 9127394807 |
| Mailing Fax Number | 9127392939 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1586 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151452 | Mary Cooper | Home Health | 1025 Blake St, Bethlehem, PA 18017-4909 | 2019-12-16 |
| 1770865834 | Mary L. Cooper | Midwife, Lay | 1257 Township Road 593, Ashland, OH 44805-9511 | 2011-09-15 |
| 1295043487 | Mary Jean Cooper | Speech-Language Pathologist | 515 Saint Lawrence Way, Furlong, PA 18925-1001 | 2010-09-22 |
| 1790988335 | Mary Reich Cooper | Internal Medicine | 9 Waccabuc River Ln, South Salem, NY 10590-1117 | 2007-06-11 |
| 1780891796 | Mary Elizabeth Cooper | Marriage & Family Therapist | 115 W. Ryus Ave., La Veta, CO 81055 | 2007-05-17 |
| 1356324750 | Mary B Cooper | Nurse Practitioner | 125 Us Highway 46, Budd Lake, NJ 07828-2523 | 2005-11-21 |
| 1144857814 | Mary Shevon Hackett Cooper | Counselor | 510 Summit Ave, Greensboro, NC 27405-7740 | 2020-03-24 |
| 1427699362 | Mary V Cooper | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 | 2019-10-02 |
| 1851958391 | Mary Lee Cooper | Registered Nurse | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-05-21 |
| 1578129565 | Mary Cooper | Counselor | 130 W North St, New Castle, PA 16101 | 2019-05-15 |
| Street Address |
3609 BILL HODGES RD |
| City | CLAXTON |
| State | GA |
| Zip Code | 30417-6235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621418 | East Georgia Healthcare Center Inc | Clinic/Center | 6459 Us Hwy 301 S, Claxton, GA 30417 | 2018-06-04 |
| 1760717433 | Evans Memorial Hospital | Family Medicine | 602 A E. Long St., Claxton, GA 30417 | 2009-10-13 |
| 1215147095 | Lindy Homer Morgan | Chiropractor | 604 West Liberty Street, Claxton, GA 30417 | 2007-05-23 |
| 1588792113 | Home Care Aids, Inc. | Durable Medical Equipment & Medical Supplies | 107-b S. Duval St., Claxton, GA 30417 | 2007-03-02 |
| 1245314053 | Paul R Hawkins | Family Medicine | 501 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
| 1235213158 | Jesse B Scott | Internal Medicine | 602 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
| 1336533199 | Optim Orthopedics, LLC | Orthopaedic Surgery | 209 North River Street, Claxton, GA 30417 | 2015-03-19 |
| 1649555178 | Suzannah Jo Williamson | Nurse Practitioner | 602 E. Long Street, Claxton, GA 30417 | 2011-10-16 |
| 1184021347 | Charles E.kelly & Company | Counselor | 409 Oak St, Claxton, GA 30417-1351 | 2014-12-03 |
| 1073963476 | Claxton Family Dentistry LLC | Dentist | 201 E Long St, Claxton, GA 30417-1409 | 2016-06-16 |
| Find all providers in zip 30417 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023049681 | Joshua Robert Pacut | Physician Assistant | 8816 Us Highway 301, Claxton, GA 30417-5428 | 2006-07-05 |
| 1295794220 | Evans Emergency Group LLC | Physician Assistant | 200 N River St, Claxton, GA 30417-1659 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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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.