William L Cooper
Individual provider Active NPI Internal Medicine Physician · Thomasville, GA
NPI 1477512663 · NPPES record last updated Aug 20, 2007
Key facts
- NPI
- 1477512663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 045191 (GA)
- Practice address
- 119 W Hill St
Thomasville, GA 31792-6618 - Phone
- (229) 225-1900
- Fax
- (229) 225-3493
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of South Alabama College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group of Georgia LLC
Select Rehabilitation, LLC
John D Archbold Memorial Hospital Inc
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
119 W Hill St
Thomasville, GA 31792-6618
Phone (770) 304-2220
2600 Compass Rd
Glenview, IL 60026-8001
915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000
947 S Broad St
Thomasville, GA 31792-6161
Phone (229) 228-3710
Hospital & facility affiliations
- Archbold Home Health Services
- Centerwell Home Health
- Hospice of Southwest Georgia
- Georgia Hospice Care
- Archbold Memorial Hospital
- Colquitt Regional Medical Center
- Grady General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080401000253 | GA | Practitioner - Internal Medicine | 4880770858 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Mitchell County | Current |
Accepting new patients | |
| Brooks County Hospital | Current |
Accepting new patients | |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current |
Accepting new patients |
| Hospital Authority of Mitchell County | Current |
Accepting new patients | |
| John D. Archbold Memorial Hospital, Inc. | Current |
Accepting new patients | |
| McIntosh Clinic, P.C. | Internal Medicine | Current |
Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current |
Accepting new patients |
| John D Archbold Memorial Hospital Inc | Current |
Accepting new patients | |
| Early Memorial Hospital | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060
90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
903 N Court St
Quitman, GA 31643
Phone (229) 263-4531
900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102
119 W Hill St
Thomasville, GA 31792
Phone (229) 225-1900
920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- william.cooper.1@8042.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 045191 | GA | Yes |
Addresses
Primary practice location
119 W Hill St
Thomasville, GA 31792-6618
Mailing address
119 W Hill St
Thomasville, GA 31792-6618
Phone (229) 225-1900
Other providers in Thomasville, GA
- Lindsey Gibson Cone
- Molly F Cone
- Kimberly Yarbrough Connell
- Winston Connell Jr.
- Amy A Cooper
- Brenda Copeland
- Cecilie Cowie
- Jodi Michelle Cox Davalos
- Jeffrey Fred Cox
- Sarah Katherine Cox
All providers in Thomasville, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.