Active NPI
Douglas Thurman Cooper, M.D.
- Psychiatry Physician
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 37180
- Practice address
- 107 Drew Cir
Brunswick, GA 31525-1049 - Phone
- (917) 705-1222
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 37180 | GA | Primary |
Addresses
Primary practice location
107 Drew Cir
Brunswick, GA 31525-1049
Mailing address
107 Drew Cir
Brunswick, GA 31525-1049
Phone (917) 705-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Psychiatry
- Education
- University of Michigan Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
135 Bradford SQ
Suite B
Fayetteville, GA 30215-1902
Phone (470) 646-3738
1766 Lawrenceville Hwy
Decatur, GA 30033-5641
Phone (470) 746-3142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindset Healthcare, PC | Current | Accepting new patients | |
| Mindbodysoul Mental Health & Family Practice LLC | Psychiatry | Current | Accepting new patients |
| HHC St. Simons Inc | Current | Accepting new patients | |
| Atlanta Psychotherapy, LLC | Current | Accepting new patients | |
| Bronx Addiction Services Integrated Concepts System Inc | Past | Accepting new patients |
Locations
1766 Lawrenceville Hwy
Decatur, GA 30033
Phone (470) 746-3142
135 Bradford Sq
Ste B
Fayetteville, GA 30215
Phone (470) 646-3738
2927 Demere Rd
St Simons Island, GA 31522
Phone (912) 638-1999
831 Fairways Ct
Ste A
Stockbridge, GA 30281
Phone (770) 389-1925
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.
-
- Family Nurse Practitioner
- Decatur, GA
- NPI 1225776834
Psychiatry
-
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, GA
- NPI 1285119925
-
- Community/Behavioral Health Agency
- Stockbridge, GA
- NPI 1114106309
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1568492718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1255495131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 DREW CIR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315251049",
"telephone_number": "917-705-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 DREW CIR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315251049",
"telephone_number": "917-705-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "DOUGLAS",
"middle_name": "THURMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2022-04-12",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "37180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
- Concerned Companion Care
- James K Conlan, MD
- Consultants in Pain Medicine, LLC (Centurion Spine & Pain Centers)
- Ryan A. Conwell, DPT
- Tanya Cook, RN
- Michael Townsend Cooper Jr., M.D.
- Cooperative Healthcare Services Inc (Southeast Georgia Physician Associates)
- Cooperative Healthcare Services, Inc. (Southeast Georgia Health System ENT Surgical Center)
- Cooperative Rehab Services, LLC
- Costal Georgia Vein Center Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.