Sandy Tyrone Cooper, MD
Individual provider Active NPI Emergency Medicine Physician · Mullins, SC
NPI 1851369698 · NPPES record last updated Mar 24, 2021
Key facts
- NPI
- 1851369698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 15626 (SC)
- Practice address
- 2829 E Highway 76
Mullins, SC 29574-6035 - Phone
- (843) 431-2000
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musc Community Physicians
Practice addresses (Care Compare)
2829 E Hwy 76
Mullins, SC 29574-6035
Phone (803) 431-2000
Hospital & facility affiliations
- Musc Health Marion Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040825001364 | SC | Practitioner - Emergency Medicine |
2365416187 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15626 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Care, Inc | Emergency Medicine | Current |
Accepting new patients |
| Musc Community Physicians | Current |
Accepting new patients | |
| Musc Community Physicians | Emergency Medicine | Current | Accepting new patients |
| Musc Community Physicians | Family Medicine | Current |
Accepting new patients |
| Carolina Family Care, Inc | Family Medicine | Current |
Accepting new patients |
| App of South Carolina Ed PLLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Physician Specialists Inc | Emergency Medicine | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15626 | SC | |
| Emergency Medicine Physician | 207P00000X | 15626 | SC | Yes |
Addresses
Primary practice location
2829 E Highway 76
Mullins, SC 29574-6035
Mailing address
PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200
Other practice location 1
1138 Cheraw Highway
Bennettsville, SC 29512
Phone (843) 479-2881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L12724 | Medicaid | SC |
Other providers in Mullins, SC
- Comfort Hands Home Care LLC
- Community Health & Services Partners, Inc
- Community Life-Link, LLC
- Community Life-Link,LLC
- Comprehensive Hospitalist Services of South Carolina
- Christo C Courban
- Covered by Chukwu
- Robert A Cox
- Marilyn McMillan Creech
- CVS Pharmacy
All providers in Mullins, SC · Emergency Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.