Cedric Cooper, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

628 Issued in TN

Practice address

647 S Washington St
Ripley, TN 38063-2044

Phone

(731) 635-4800

Fax

(731) 635-4801

NPI assigned

Jan 27, 2006

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Memphis Health Center, Inc.Group PAC ID 7315859972, 17 clinicians

Special Care Podiatry of Tennessee, LLCGroup PAC ID 8820398696, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cedric.cooper.p1@direct.mphshc.nextgenshare.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.

• Memphis Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1144236902
  Medicare reassignment Care Compare group NPD
• Special Care Podiatry of Tennessee, LLC

  • Podiatrist
  • Chattanooga, TN
  • NPI 1780072371
  Medicare reassignment Care Compare group NPD
• Tennessee Foot Care Center LLC

  • Durable Medical Equipment & Medical Supplies
  • Ripley, TN
  • NPI 1861679136
  NPD (past) Authorized official
• Memphis Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1659745354
  NPD

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1184695306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 S WASHINGTON ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380632044",
            "telephone_number": "731-635-4800",
            "fax_number": "731-635-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 S WASHINGTON ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380632044",
            "telephone_number": "731-635-4800",
            "fax_number": "731-635-4801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1642 E MAIN ST",
            "address_purpose": "LOCATION",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432904",
            "country_code": "US",
            "telephone_number": "731-784-7430",
            "fax_number": "731-784-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CEDRIC",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "628",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD0142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353992",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annabelle Chua
• Citizens of Lake County for Health Care, Inc (Lauderdale County Medical Clinic)
• CLC of Ripley, LLC (Lauderdale Community Living Center)
• James R Coffman, D MIN
• Lauren Conatser, FNP
• Crain's Pharmacy Inc
• Crossriver Telehealth PLLC
• Crowder Family Dental Care, PC
• Roy Elton Crowder Jr., DDS
• Seth Howard Crowe, PHARMD.

• Podiatrist in Ripley, TN
• Providers in Ripley, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.