Richard Glynn Cooper, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

038209 Issued in GA

Practice address

2704 N Oak St
Building E
Valdosta, GA 31602-1744

Phone

(229) 333-9729

Fax

(229) 333-0832

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Azalea Womens Center, PC

  • Specialist
  • Valdosta, GA
  • NPI 1710194097
  NPD (past)
• Jose Medina MD PC

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1407047269
  NPD (past)
• Open MRI of Tifton LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tifton, GA
  • NPI 1679542526
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1467433573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3670",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316043670",
            "telephone_number": "229-244-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST",
            "address_2": "BUILDING E",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021744",
            "telephone_number": "229-333-9729",
            "fax_number": "229-333-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RICHARD",
        "middle_name": "GLYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "038209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000597803A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary T. Consolini, CCC-A/SLP
• Constant Care of Valdosta
• Constant Care of Valdosta LLC
• Rita Drake Cook, APRN
• Philip Andrew Cooper, NP-C
• Sara Browning Cooper, OD
• Terri Brianna Cooper
• Emily R Copeland, PA-AA
• Kassi Laiten Copeland, PMHNP-BC
• Robert Aaron Copeland Jr., R.PH.

• Diagnostic Radiology Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.