Individual provider Active NPI

Emily Haynes Cooper, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1679602957
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2014-02177 Issued in NC
Practice address
10310 Mallard Creek Rd Ste 101-D
Charlotte, NC 28262-4563
Phone
(980) 431-4437
Fax
(980) 431-4291
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2014-02177 NC Primary

Addresses

Primary practice location

10310 Mallard Creek Rd Ste 101-D
Charlotte, NC 28262-4563

Mailing address

4258 NC Highway 49 S Unit 400
Harrisburg, NC 28075-0107
Phone (704) 796-0899

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150114002517 NC Practitioner - Family Practice 3870647621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10310 Mallard Creek Rd
Suite 101D
Charlotte, NC 28262-4563
Phone (704) 796-0899

4258 NC Hwy 49 S
Unit 400
Harrisburg, NC 28075-0107

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-02177NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Oct 14, 2017 Accepting new patients
Carolinas Medical Center Family Medicine CurrentSince Oct 14, 2017 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Feb 27, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 27, 2017 Accepting new patients
Dominion Health Family Wellness Center Family Medicine CurrentSince Apr 4, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Riverside Physician Services, Inc. Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

10310 Mallard Creek Rd
Ste 101D
Charlotte, NC 28262
Phone (704) 796-0899

1801 Rozzelles Ferry Rd
Charlotte, NC 28208
Phone (704) 446-9987

309 S Sharon Amity Rd
Ste 100
Charlotte, NC 28211
Phone (704) 366-7586

10310 Mallard Creek Rd
Ste D
Charlotte, NC 28262
Phone (704) 510-1600

5435 Prosperity Church Rd
Ste 2200
Charlotte, NC 28269
Phone (704) 863-9830

4258 NC Highway 49 S
Unit 400
Harrisburg, NC 28075

4429 W Highway 27
Vale, NC 28168
Phone (704) 748-2245

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCFDD/Endpoint/CHCFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCFDD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1679602957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 NC HIGHWAY 49 S UNIT 400",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280750107",
            "telephone_number": "704-796-0899",
            "fax_number": "804-999-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 MALLARD CREEK RD STE 101-D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624563",
            "telephone_number": "980-431-4437",
            "fax_number": "980-431-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "EMILY",
        "middle_name": "HAYNES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-02177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.