Ally Cooper
Individual provider Active NPI Physician Assistant · Milligan, TN
NPI 1467378174 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1467378174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1 Blowers Blvd
Milligan, TN 37682 - Phone
- (423) 461-8700
- NPI assigned
- Jun 26, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1 Blowers Blvd
Milligan, TN 37682
Mailing address
1 Blowers Blvd
Johnson City, TN 37682
Other providers in Milligan, TN
All providers in Milligan, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.