Active NPI
Doris Kathleen Cope, MD
- Pain Medicine Physician
- Pooler, GA
National Provider Identifier
1376515932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- D73288
- Practice address
- 200 Blue Moon Xing Ste 203
Pooler, GA 31322-9698 - Phone
- (912) 466-9111
- NPI assigned
- Feb 7, 2006
- Last updated
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D73288 | MD | |
| Pain Medicine Physician | 208VP0000X | D73288 | MD | Primary |
Addresses
Primary practice location
200 Blue Moon Xing Ste 203
Pooler, GA 31322-9698
Mailing address
10475 Centurion Pkwy N Ste 201
Jacksonville, FL 32256-5004
Phone (904) 223-3321
Other practice location 1
5354 Reynolds St Ste 315
Savannah, GA 31405-6010
Phone (912) 692-0755
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200423002017 | GA | Practitioner - Pain Management | 8224077284 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management Specialists, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Clearway Pain Solutions
- Clinical Medical Laboratory
- Owings Mills, MD
- NPI 1316315740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1376515932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10475 CENTURION PKWY N STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322565004",
"telephone_number": "904-223-3321",
"fax_number": "904-223-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BLUE MOON XING STE 203",
"city": "POOLER",
"state": "GA",
"postal_code": "313229698",
"telephone_number": "912-466-9111"
}
],
"practiceLocations": [
{
"address_1": "5354 Reynolds St Ste 315",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056010",
"country_code": "US",
"telephone_number": "912-692-0755",
"fax_number": "912-692-0754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COPE",
"first_name": "DORIS",
"middle_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D73288",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MD",
"license": "D73288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.