Individual provider Active NPI

Jared Cooper, NP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1124516661
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024186982 Issued in VA
Practice address
777 Hemlock St
Macon, GA 31201-2102
Phone
(478) 633-1000
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024186982 VA Primary
Acute Care Nurse Practitioner 363LA2100X 179606 GA

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

120 Hicksville Rd
Bethpage, NY 11714-3443
Phone (516) 717-1839

Other names 1

  • Mr. Jared Cooper Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY, MA, VA, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20181006000180 GA Practitioner - Nurse Practitioner 5597017343 Reassigns benefits to 2 organizations
I20191121002918 NY Practitioner - Nurse Practitioner 5597017343 Reassigns benefits to 3 organizations
I20230317000165 MA Practitioner - Nurse Practitioner 5597017343 Reassigns benefits to 1 organization
I20250910000071 VA Practitioner - Nurse Practitioner 5597017343 Reassigns benefits to 1 organization
I20251212000174 DC Practitioner - Nurse Practitioner 5597017343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Sound Physicians Intensivists of Virginia LLCGroup PAC ID 1759611411, 49 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 285-2011

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 764-6000

Hospital & facility affiliations

  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
179606GAMDAcute Care Nurse Practitioner

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Sound Physicians Intensivists of Virginia LLC Nurse Practitioner CurrentSince Jun 27, 2025 Accepting new patients
Sound Physicians Intensivists of Georgia PC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
MVHS Inc CurrentSince Nov 12, 2023 Accepting new patients
Intensive Care Consortium Inc Nurse Practitioner CurrentSince Oct 3, 2025 Accepting new patients
New York University CurrentSince Dec 6, 2022 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Dec 5, 2023 Accepting new patients
New York University CurrentSince Dec 6, 2022 Accepting new patients
Adfinitas Health at the Mercy Hospital PLLC CurrentSince Feb 15, 2023 Accepting new patients
MVHS Inc CurrentSince Nov 12, 2023 Accepting new patients
Critical Care Physician of New York PC Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

2215 Genesee St
Utica, NY 13501
Phone (315) 801-4238

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jcooper504440@nyumc.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1124516661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143443",
            "telephone_number": "516-717-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JARED",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024186982",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "179606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARED",
            "last_name": "COOPER",
            "prefix": "MR.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.