Nicole Cooper

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

4825 Jasmine Way
Hephzibah, GA 30815-5874

Phone

(706) 836-0979

NPI assigned

Aug 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Coopers Homecare LLC

  • Home Health Agency
  • Augusta, GA
  • NPI 1639053416
  NPD Authorized official
• Great Day 11

  • Assisted Living Facility
  • Augusta, GA
  • NPI 1649924135
  NPD Authorized official
• Great Day Personal Care LLC

  • Assisted Living Facility
  • Augusta, GA
  • NPI 1245981430
  NPD Authorized official

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1346915907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 CLARK ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043067",
            "telephone_number": "706-738-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 JASMINE WAY",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308155874",
            "telephone_number": "706-836-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa A Cobb
• Michelle Sherrie Coleman
• Althea Collins, LPC
• Johneathia Combs
• Community Service Board of East Central Georgia
• Cosmic Abundance Enterprise LLC
• Counseling With K, LLC
• CSB of East Central Ga
• CSB of East Central Ga
• CSB of East Central Ga

• Nursing Home Administrator in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Nursing Home Administrator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.