Rebecca Lynn Cooper, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-03705 Issued in NC

Practice address

13741 NC Highway 50 Ste a
Surf City, NC 28445-6935

Phone

(910) 777-2732

Fax

(910) 777-2742

NPI assigned

Sep 17, 2009

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sandy Shores Medical Center and Urgent CareGroup PAC ID 1658787270, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
• Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcooper@goshenmedical.cloudcraftdirect.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Sandy Shores Medical Center and Urgent Care

  • Urgent Care Clinic/Center
  • Surf City, NC
  • NPI 1821681271

  NC

  Medicare reassignment Care Compare group
• Sandy Shores Primary Care, PLLC

  • Primary Care Clinic/Center
  • Surf City, NC
  • NPI 1508511767
  NPD Authorized official
• King Medical Care, Inc.

  • Specialist
  • Bloomsburg, PA
  • NPI 1942335237
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Duplin General Hospital Incorporated

  • General Acute Care Hospital
  • Kenansville, NC
  • NPI 1508832833

  Hospital

  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139

  Hospital

  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  • Critical Access Hospital
  • Burgaw, NC
  • NPI 1295703130

  Hospital

  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  • Medicare Defined Swing Bed Hospital Unit
  • Burgaw, NC
  • NPI 1780653865

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1104159540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13741 NC HIGHWAY 50 STE A",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456935",
            "telephone_number": "910-777-2732",
            "fax_number": "910-777-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13741 NC HIGHWAY 50 STE A",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456935",
            "telephone_number": "910-777-2732",
            "fax_number": "910-777-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-03705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcooper@ssmcuc.net",
            "affiliation": "N",
            "address_1": "13741 Nc Highway 50 Ste A",
            "city": "Surf City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284456935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• William Jeffrey Callard, MD
• Trudy Mary Cook, LCSW, P.C.
• CVS Pharmacy
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• Deana Fugate, DMD, P.a.
• David Alan Deitz, PT, DPT, OCS
• Elite Comprehensive Care, PLLC

• Medical Physician Assistant in Surf City, NC
• Providers in Surf City, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.