Jesanna Carolan Cooper, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

28204 Issued in AL

Practice address

832 Princeton Ave SW
Birmingham, AL 35211-1320

Phone

(205) 206-8477

Fax

(205) 397-0986

NPI assigned

Jun 29, 2007

Last updated

Oct 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Alabama School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andalusia Physician Practices LLCGroup PAC ID 7315043007, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9954/brand/1/csg/81/fhir/r4
• Direct secure messaging: jesanna.cooper.1@19364.direct.athenahealth.com

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.

• Andalusia Physician Practices LLC

  dba Andalusia Neurology

  • Neurology Physician
  • Andalusia, AL
  • NPI 1437202009
  Medicare reassignment Care Compare group NPD
• Covington Gynecology, P.C.

  • Obstetrics & Gynecology Physician
  • Andalusia, AL
  • NPI 1518137694
  Medicare reassignment NPD
• Obhg Alabama, P.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1881976520

  AL

  Medicare reassignment NPD
• Andalusia Physician Practices LLC

  dba Andalusia Family Healthcare

  • Rural Health Clinic/Center
  • Andalusia, AL
  • NPI 1417663576
  NPD
• Andalusia Physician Practices LLC

  dba Andalusia Family Healthcare

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1972870335
  NPD
• Andalusia Professional Services LLC

  • Emergency Medicine Physician
  • Andalusia, AL
  • NPI 1649726001
  NPD (past)
• Community Hospital of Andalusia LLC

  dba Andalusia Health

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  NPD (past)
• Southern Cardiovascular Associates, PC

  • Cardiovascular Disease Physician
  • Gadsden, AL
  • NPI 1588617716
  NPD (past)
• Womens Health Partners LLC

  • Obstetrics & Gynecology Physician
  • Gadsden, AL
  • NPI 1851617997
  NPD (past)
• Womens Health Specialists of Birmingham Inc

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1619226370
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1083811459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12366",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022366",
            "telephone_number": "205-780-7101",
            "fax_number": "205-206-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-206-8477",
            "fax_number": "205-397-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JESANNA",
        "middle_name": "CAROLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "28204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148407",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "511-35294",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Allyson Cooper
• Daniel Patrick Cooper, MD
• David Micah Cooper, RN, CCRN
• Erin Ragan Cooper
• Erynn Lee Cooper, ALC
• John Cooper
• John Andrew Cooper
• Joshua Keith Cooper, MD
• Kearra Tynece Cooper
• Melissa Lynn Cooper, FNP-BC

• Obstetrics & Gynecology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.