Individual provider Active NPI

Tess Dowdle Cooley, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Leesville, LA
National Provider Identifier
1063080331
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
326425 Issued in LA
Practice address
301 W Fertitta Blvd Ste 1
Leesville, LA 71446-4665
Phone
(337) 238-0167
Fax
(337) 238-0574
NPI assigned
Jun 14, 2021
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 326425 LA Primary

Addresses

Primary practice location

301 W Fertitta Blvd Ste 1
Leesville, LA 71446-4665

Mailing address

301 W Fertitta Blvd Ste 1
Leesville, LA 71446-4665
Phone (337) 238-0167

Other names 1

  • Tess Julianna Dowdle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629001079 LA Practitioner - Physician Assistant 7810398831 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
326425LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carlock Enterprises LLC CurrentSince Apr 1, 2022 Accepting new patients
Signify Health, LLC Physician Assistant CurrentSince Jan 10, 2026 Accepting new patients

Locations

1100 Nolan Trce
Leesville, LA 71446
Phone (337) 238-5180

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1063080331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W FERTITTA BLVD STE 1",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464665",
            "telephone_number": "337-238-0167",
            "fax_number": "337-238-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W FERTITTA BLVD STE 1",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464665",
            "telephone_number": "337-238-0167",
            "fax_number": "337-238-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "TESS",
        "middle_name": "DOWDLE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "326425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESS",
            "last_name": "DOWDLE",
            "middle_name": "JULIANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.