Active NPI
Adam Daniel Cooley, D.O.
- Emergency Medicine Physician
- Charlotte, NC
National Provider Identifier
1699099028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2014-00547
- Practice address
- 8800 N Tryon St
Charlotte, NC 28262-3300 - Phone
- (330) 447-3761
- NPI assigned
- Mar 14, 2010
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2014-00547 | NC | Primary |
Addresses
Primary practice location
8800 N Tryon St
Charlotte, NC 28262-3300
Mailing address
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140911000236 | NC | Practitioner - Emergency Medicine | 1254579642 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-00547 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
Emergency Medicine, NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1699099028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623300",
"telephone_number": "704-863-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623300",
"telephone_number": "330-447-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "ADAM",
"middle_name": "DANIEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-14",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2014-00547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.