Individual provider Active NPI

Colton David Cooper, PA-C

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1760125496
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone
(423) 460-9433
NPI assigned
Apr 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2415 McCallie Ave
Chattanooga, TN 37404-3322

Mailing address

172 Highland Ter
Ringgold, GA 30736-6513
Phone (423) 509-9335

Other practice location 1

1949 Gunbarrel Rd Ste 150
Chattanooga, TN 37421-7131
Phone (423) 460-9482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20220602002671 TN Practitioner - Physician Assistant 3274911250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group, PC CurrentSince May 16, 2022 Accepting new patients
Chattanooga Orthopaedic Group, PC CurrentSince May 16, 2022 Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients
Chattanooga Orthopaedic Group PC Past Accepting new patients

Locations

4725 Battlefield Pkwy
Ringgold, GA 30736

719 Cook Dr
Ste 103
Athens, TN 37303
Phone (423) 339-3340

2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395

1949 Gunbarrel Rd
Ste 150
Chattanooga, TN 37421
Phone (423) 296-0022

2205 McCallie Ave
Ste 302
Chattanooga, TN 37404

2400 N Ocoee St
Cleveland, TN 37311
Phone (423) 476-5547

7693 Rhea County Hwy
Ste 8
Dayton, TN 37321
Phone (423) 305-7980

2051 Hamill Rd
Ste 3000
Hixson, TN 37343

24 Mountain View Dr
Ste A
Kimball, TN 37347
Phone (423) 942-9171

Interoperability endpoints

  • Direct secure messaging: colton.cooper.1@519.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1760125496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HIGHLAND TER",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307366513",
            "telephone_number": "423-509-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-460-9433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 Gunbarrel Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374217131",
            "country_code": "US",
            "telephone_number": "423-460-9482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "COLTON",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.