Individual provider Active NPI

Ozita Dareace Cooper, MD

  • Emergency Medicine Physician
  • East Point, GA
National Provider Identifier
1508934191
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
044434 Issued in GA
Practice address
3645 Marketplace Blvd
East Point, GA 30344-5747
Phone
(833) 633-3632
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 307371 NY
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 50293 KY
Obesity Medicine (Preventive Medicine) Physician 2083B0002X MD61119290 WA
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 0101054525 VA
Obesity Medicine (Preventive Medicine) Physician 2083B0002X MD17389 RI
Emergency Medicine Physician 207P00000X 104917 MO
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 44434 GA
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 2661 MN
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 75768 WI
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 11970900-1205 UT
Obesity Medicine (Preventive Medicine) Physician 2083B0002X ME127907 FL
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 91575 MT
Emergency Medicine Physician 207P00000X 044434 GA Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X DR.0065478 CO
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 4301503558 MI

Addresses

Primary practice location

3645 Marketplace Blvd
East Point, GA 30344-5747

Mailing address

3645 Marketplace Blvd # 130332
East Point, GA 30344-5747
Phone (833) 633-3632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MO, TX, NY, NJ, CA, NC, IL, TN9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20040204000561 GA Practitioner - Emergency Medicine 6709779739 Reassigns benefits to 3 organizations
I20120128000013 MO Practitioner - Emergency Medicine 6709779739 Reassigns benefits to 3 organizations
I20201029000331 TX Practitioner - Emergency Medicine 6709779739 Reassigns benefits to 1 organization
I20250801003329 NY Practitioner - Emergency Medicine 6709779739
I20250808003439 NJ Practitioner - Emergency Medicine 6709779739 Reassigns benefits to 1 organization
I20250812001098 CA Practitioner - Emergency Medicine 6709779739 Reassigns benefits to 2 organizations
I20250821003357 NC Practitioner - Emergency Medicine 6709779739
I20250825002565 IL Practitioner - Emergency Medicine 6709779739
I20250829004574 TN Practitioner - Emergency Medicine 6709779739

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRH Medical GroupGroup PAC ID 1456794866, 25 clinicians

Practice addresses (Care Compare)

Oakland, CA 94609
Phone (808) 808-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044434GAMDEmergency Medicine Physician
DR.0065478COMDObesity Medicine (Preventive Medicine) Physician
ME127907FLMDObesity Medicine (Preventive Medicine) Physician
44434GAMDObesity Medicine (Preventive Medicine) Physician
50293KYMDObesity Medicine (Preventive Medicine) Physician
2661MNMDObesity Medicine (Preventive Medicine) Physician
91575MTMDObesity Medicine (Preventive Medicine) Physician
307371NYMDObesity Medicine (Preventive Medicine) Physician
MD17389RIMDObesity Medicine (Preventive Medicine) Physician
11970900-1205UTMDObesity Medicine (Preventive Medicine) Physician
0101054525VAMDObesity Medicine (Preventive Medicine) Physician
75768WIMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pemiscot County Memorial Hospital CurrentSince Feb 4, 2018 Accepting new patients
Care Talk Health FL PA CurrentSince Jun 1, 2025 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Feb 4, 2018 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Aug 5, 2025 Accepting new patients
Michael C Hoaglin, MD, Inc CurrentSince Jul 30, 2025 Accepting new patients
DRH Medical Group CurrentSince Jul 30, 2025 Accepting new patients
Chess Medical, P.C. CurrentSince May 30, 2025 Accepting new patients
Missouri Em-I Medical Services, P.C. Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
Upson Medical Emergency Physicans, LLC Emergency Medicine Past Accepting new patients
Ehab Yacoub MD Inc. PastSince Jan 14, 2017 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Emerginet, LLC PastSince Jul 1, 2001 Accepting new patients
Little Blue Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

2151 Michelson Dr
Ste 225
Irvine, CA 92612
Phone (949) 298-3200

12100 Wilshire Blvd
Fl 8
Los Angeles, CA 90025
Phone (317) 658-5000

400 30th St
Ste 407
Oakland, CA 94609
Phone (415) 735-6453

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

521 Lorel Way
Yuba City, CA 95991
Phone (216) 973-2202

99 Hawley Ln
Ste 1102
Stratford, CT 06614

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1449 S Michigan Ave
Chicago, IL 60605
Phone (312) 292-9818

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

7 Hemion Rd
Ste 110
Suffern, NY 10901

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1508934191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD # 130332",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "833-633-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "833-633-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "OZITA",
        "middle_name": "DAREACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NY",
            "license": "307371",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "KY",
            "license": "50293",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "WA",
            "license": "MD61119290",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "VA",
            "license": "0101054525",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "RI",
            "license": "MD17389",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "104917",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "GA",
            "license": "44434",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "MN",
            "license": "2661",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "WI",
            "license": "75768",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "UT",
            "license": "11970900-1205",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME127907",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "MT",
            "license": "91575",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "044434",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CO",
            "license": "DR.0065478",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "MI",
            "license": "4301503558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.