Individual provider Active NPI

Johnie Joseph Cooper Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Lexington, KY
National Provider Identifier
1467747386
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
54439 Issued in KY
Practice address
125 E Maxwell St Ste 140
Lexington, KY 40508-2678
Phone
(859) 323-0005
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R2724 KY
Obstetrics & Gynecology Physician 207V00000X TP097 KY
Obstetrics & Gynecology Physician 207V00000X 54439 KY Primary

Addresses

Primary practice location

125 E Maxwell St Ste 140
Lexington, KY 40508-2678

Mailing address

2750 Hospital Dr
Northport, AL 35476-3360

Other practice location 1

2750 Hospital Dr
Northport, AL 35476-3360
Phone (205) 339-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151209000656 AL Practitioner - Obstetrics/Gynecology 3274834601
I20200422001255 KY Practitioner - Obstetrics/Gynecology 3274834601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

125 E Maxwell St
Lexington, KY 40508-2678
Phone (859) 323-3231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2724KYMDObstetrics & Gynecology Physician
TP097KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Obstetrics & Gynecology CurrentSince Apr 10, 2020 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

125 E Maxwell St
Ste 140
Lexington, KY 40508
Phone 8593230005 ext. 85932

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

125 E Maxwell St
Lexington, KY 40508
Phone (859) 323-0005

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Interoperability endpoints

  • Direct secure messaging: jcooper32712@ukhcdirect.org

Organizations & group practices 2

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1467747386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 HOSPITAL DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAXWELL ST STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082678",
            "telephone_number": "859-323-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354763360",
            "country_code": "US",
            "telephone_number": "205-339-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOHNIE",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "R2724",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "TP097",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "54439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.