Individual provider Active NPI

Matthew David Cooper, M.D.

  • Emergency Medicine Physician
  • Florence, SC
National Provider Identifier
1467814293
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82444 Issued in SC
Practice address
555 E Cheves St
Florence, SC 29506
Phone
(843) 777-2000
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 82444 SC Primary

Addresses

Primary practice location

555 E Cheves St
Florence, SC 29506

Mailing address

530 S Jackson St
#C1H17
Louisville, KY 40202-1675
Phone (502) 852-5689

Other practice location 1

530 S Jackson St
#C1H17
Louisville, KY 40202-1675
Phone (502) 852-5689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20191015002129 SC Practitioner - Emergency Medicine 3577832252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical University of South Carolina College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2829 E Hwy 76
Mullins, SC 29574-6035
Phone (803) 581-2800

Hospital & facility affiliations

  • Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055
  • CCN 420117 Hospital, CCN 420117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82444SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Oct 12, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 1, 2019 Accepting new patients
Musc Community Physicians Emergency Medicine CurrentSince Oct 12, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 1, 2019 Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

Interoperability endpoints

  • Direct secure messaging: mcooper30262@direct.musc.edu
  • Direct secure messaging: mcooper25207@directmcleodehealth.org

Organizations & group practices 5

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 2

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1467814293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "address_2": "#C1H17",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-852-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-777-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 S Jackson St",
            "address_2": "#C1H17",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "502-852-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "82444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.