Kieran Alexander Cooper, M.D..

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

037512 Issued in GA

Practice address

448 Ralph David Abernathy Swblvd SW2
Atlanta, GA 30312-2404

Phone

(678) 499-8633

Fax

(678) 510-7555

NPI assigned

Jun 14, 2006

Last updated

Jul 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sympathycare Hospice, LLC

  • Community Based Hospice Care Agency
  • Roswell, GA
  • NPI 1780332130

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creative Hospice Care Inc

  dba Eternal Faith Hospice and Palliative Care

  • Clinic/Center
  • Bogart, GA
  • NPI 1437897956
  Medicare reassignment NPD
• Sympathycare Hospice, LLC

  • Community Based Hospice Care Agency
  • Roswell, GA
  • NPI 1780332130
  Medicare reassignment NPD
• Cooper Medical Associates LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1053345025
  Authorized official Same address or phone
• Cooper & Associates LLC

  dba Right at Home

  • Home Health Agency
  • Atlanta, GA
  • NPI 1538354352
  NPD (past)
• Creative Hospice Care, Inc

  dba Eternal Faith Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Bogart, GA
  • NPI 1326330010
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1760425623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 RALPH DAVID ABERNATHY SWBLVD SW2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122404",
            "telephone_number": "678-499-8633",
            "fax_number": "678-510-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 RALPH DAVID ABERNATHY SWBLVD SW2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122404",
            "telephone_number": "678-499-8633",
            "fax_number": "678-510-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KIERAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D..",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "037512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000560436G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Dewayne Cooper, MD
• Jo Ann Washington Cooper
• Juliet Denise Cooper, RN
• Kamiesha Cooper
• Keevis Cooper
• Lacey Lee Cooper, RDH
• Lawrence Erwin Cooper, MD
• Lequiter Monet Cooper
• Lisa Cooper
• Malik Cooper, PTA

• Geriatric Medicine (Internal Medicine) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.