Active NPI
Tana Kathryn Cooper, DO
- Family Medicine Physician
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20540
- Practice address
- 967 Cedar Lake Rd
Biloxi, MS 39532-2128 - Phone
- (228) 205-6814
- Fax
- (228) 392-0864
- NPI assigned
- May 16, 2007
- Last updated
- Jul 27, 2022
- 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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 20540 | MS | |
| Family Medicine Physician | 207Q00000X | 20540 | MS | Primary |
Addresses
Primary practice location
967 Cedar Lake Rd
Biloxi, MS 39532-2128
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05384293 | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
967 Cedar Lake Rd
Biloxi, MS 39532-2128
Phone (228) 205-6814
Hospital & facility affiliations
- Deaconess Homecare- Region I
- Adoration Home Health
- Singing River Health System
- Singing River Gulfport
- Memorial Hospital Biloxi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20540 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current | Accepting new patients | |
| Wound Care Associates LLC | Current | Accepting new patients | |
| Singing River Health System | Past | Accepting new patients | |
| Singing River Gulfport | Past | Accepting new patients |
Locations
16065 Lamonte Dr
Hammond, LA 70403
Phone (855) 432-5328
147 Reynoir St
Ste 307
Biloxi, MS 39530
Phone (228) 436-1600
967 Cedar Lake Rd
Biloxi, MS 39532
Phone (228) 205-6814
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
dba Singing River Gulfport Ambulatory
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
dba Inpatient Physician Services
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1639797913
-
- General Acute Care Hospital
- Pascagoula, MS
- NPI 1124136593
-
dba Deaconess HomeCare
- Home Health Agency
- Laurel, MS
- NPI 1326039470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1174730519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 90",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535340",
"telephone_number": "228-497-7576",
"fax_number": "228-497-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 CEDAR LAKE RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322128",
"telephone_number": "228-205-6814",
"fax_number": "228-392-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "TANA",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MS",
"license": "20540",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "20540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05384293",
"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 Jul 27, 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.