Jacqueline Hall Cooper, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

GAA-NP001048 Issued in GA

Practice address

1354 Cleveland Ave
East Point, GA 30344-3431

Phone

(404) 763-0405

Fax

(404) 763-4223

NPI assigned

Apr 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.396886

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.

• North Atlanta Kidney Specialists

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1598872434
  Medicare reassignment NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  GA

  Medicare reassignment NPD
• Brookhaven Renal Systems, LLC

  dba Brookhaven Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Atlanta, GA
  • NPI 1811338114
  NPD (past)
• Trinity Dialysis Clinic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • East Point, GA
  • NPI 1245227560
  NPD (past)
• Univita

  • In Home Supportive Care Agency
  • Sicklerville, NJ
  • NPI 1841565017
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1629335906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9879 MILTON CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357628",
            "telephone_number": "856-287-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443431",
            "telephone_number": "404-763-0405",
            "fax_number": "404-763-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Northmeadow Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764914",
            "country_code": "US",
            "telephone_number": "833-356-2958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JACQUELINE",
        "middle_name": "HALL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "GAA-NP001048",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ0036900",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Outreach for Youth & Family Services of Ga
• Community Outreach for Youth and Family Services of Ms
• Community Outreach for Youth and Family Services of VA LLC (American Family Care Network)
• Comprehensive Health Associates, LLC
• Controlling Family Development Inc
• Ozita Dareace Cooper, MD
• Covenant Pulmonary Critical Care Inc
• Kiara Cribb, PHARMD
• Marva Crosby, DC
• Destiny Michelle Curry-Giles, BCBA, LBA

• Adult Health Nurse Practitioner in East Point, GA
• Providers in East Point, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.