Active NPI
Jada Cooper, CFNP
- Nurse Practitioner
- Biloxi, MS
National Provider Identifier
1124095914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R859997
- Practice address
- 715-A Division Street
Biloxi, MS 39530 - Phone
- (228) 374-4991
- Fax
- (228) 374-0856
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R859997 | MS | |
| Nurse Practitioner | 363L00000X | R859997 | MS | Primary |
Addresses
Primary practice location
715-A Division Street
Biloxi, MS 39530
Mailing address
PO Box 475
Biloxi, MS 39533-0475
Phone (228) 374-2494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126712 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12261 Hwy 49
Gulfport, MS 39503-2975
Phone (228) 867-5185
1340 Broad Ave
Gulfport, MS 39501-2460
Hospital & facility affiliations
- Memorial Hospital at Gulfport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R859997 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Past | Accepting new patients |
Locations
1756 Popps Ferry Rd
Ste A
Biloxi, MS 39532
Phone (228) 865-3200
12261 Highway 49
Gulfport, MS 39503
Phone (228) 236-3356
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
Interoperability endpoints
- jcoopergrant@direct.mhg.com
Organizations & group practices 5
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.
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Family Medicine Physician
- Gulfport, MS
- NPI 1619304185
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
Hospital & facility affiliations 60
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1124095914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 475",
"city": "BILOXI",
"state": "MS",
"postal_code": "395330475",
"telephone_number": "228-374-2494",
"fax_number": "228-374-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715-A DIVISION STREET",
"city": "BILOXI",
"state": "MS",
"postal_code": "39530",
"telephone_number": "228-374-4991",
"fax_number": "228-374-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JADA",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R859997",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R859997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00126712",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.