Active NPI
Lawrence Erwin Cooper, MD
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1619136249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 021444
- Practice address
- 1150 Lake Hearn Dr NE
Suite 650
Atlanta, GA 30342-1522 - Phone
- (404) 705-5000
- Fax
- (404) 705-5060
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021444 | GA | Primary |
Addresses
Primary practice location
1150 Lake Hearn Dr NE
Suite 650
Atlanta, GA 30342-1522
Mailing address
1150 Lake Hearn Dr NE
Suite 650
Atlanta, GA 30342-1522
Phone (404) 705-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220520001252 | GA | Order and Referring Only - Internal Medicine | 0941687545 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021444 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1619136249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 LAKE HEARN DR NE",
"address_2": "SUITE 650",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421522",
"telephone_number": "404-705-5000",
"fax_number": "404-705-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 LAKE HEARN DR NE",
"address_2": "SUITE 650",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421522",
"telephone_number": "404-705-5000",
"fax_number": "404-705-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "LAWRENCE",
"middle_name": "ERWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "021444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.