Individual provider Active NPI

John Reed Cooper, M.D.

  • Family Medicine Physician
  • Opelika, AL
National Provider Identifier
1417023763
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12200 Issued in AL
Practice address
122 N 20TH St BLDG 24
Opelika, AL 36801-5442
Phone
(334) 745-4646
Fax
(334) 745-0633
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12200 AL Primary

Addresses

Primary practice location

122 N 20TH St BLDG 24
Opelika, AL 36801-5442

Mailing address

122 N 20TH St BLDG 24
Opelika, AL 36801-5442
Phone (334) 745-4646

Other identifiers 1

IdentifierTypeStateIssuer
51019499OtherALBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000474 AL Practitioner - Family Practice 1850490616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Associates of East Alabama P C.Group PAC ID 4880614288, 5 clinicians

Practice addresses (Care Compare)

122 N 20TH St
Opelika, AL 36801-5442
Phone (334) 745-4646

Hospital & facility affiliations

  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Merit-based Incentive Payment System (MIPS)

Final score
93.42 of 100Reported as group
Quality
95.02
Promoting interoperability
99
Improvement activities
40
Cost
83.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (1 of 7)

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of East Alabama P C Family Medicine CurrentSince Mar 7, 1997 Accepting new patients

Locations

122 N 20th St
Bldg 24
Opelika, AL 36801
Phone (334) 745-4646

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01C0

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20664/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jcooper@fma.gwaydirect.com
  • Direct secure messaging: john.cooper.1@20664.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417023763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST BLDG 24",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-745-4646",
            "fax_number": "334-745-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST BLDG 24",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-745-4646",
            "fax_number": "334-745-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOHN",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51019499",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.