Individual provider Active NPI

Chad Edward Cooley, M.D.

  • Obstetrics Physician
  • Flowood, MS
National Provider Identifier
1851731277
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
24197 Issued in MS
Practice address
291 E Layfair Dr
Flowood, MS 39232-9527
Phone
(601) 936-9190
NPI assigned
Jun 29, 2013
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 24197 MS Primary

Addresses

Primary practice location

291 E Layfair Dr
Flowood, MS 39232-9527

Mailing address

291 E Layfair Dr
Flowood, MS 39232-9527
Phone (601) 936-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20170711003661 MS Practitioner - Obstetrics/Gynecology 0143544007 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson Healthcare for Women PAGroup PAC ID 0345335295, 15 clinicians

Practice addresses (Care Compare)

291 E Layfair Dr
Flowood, MS 39232-9527
Phone (601) 936-9190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Mississippi, P.C. CurrentSince Jan 16, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince May 25, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince May 25, 2019 Accepting new patients
Wayne General Hospital CurrentSince Mar 11, 2024 Accepting new patients
Lucedale OB/GYN Center CurrentSince Feb 1, 2022 Accepting new patients
P & S Clinic OB-GYN PLLC CurrentSince Sep 1, 2021 Accepting new patients
Wayne General Hospital CurrentSince Mar 11, 2024 Accepting new patients
Premier Women's Health, PLLC CurrentSince Jan 25, 2021 Accepting new patients
Jackson Healthcare for Women PA CurrentSince Aug 1, 2017 Accepting new patients
Lucedale OBGYN Center PastSince Feb 1, 2022 Accepting new patients
P&S Primary Care, PLLC PastSince Oct 13, 2019 Accepting new patients
Roh LLC Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospsital Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

900 Earl Frye Blvd
Ste A
Amory, MS 38821
Phone (662) 256-9331

14231 Seaway Rd
Ste 3004
Gulfport, MS 39503
Phone (228) 206-1905

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

291 E Layfair Dr
Jackson, MS 39232
Phone (601) 932-2230

859 Winter St
Ste A
Lucedale, MS 39452
Phone (601) 947-6000

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7285

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

Interoperability endpoints

  • Direct secure messaging: ccooley21832@ummc.direct-ci.com

Organizations & group practices 16

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.

View all 16

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": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1851731277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329527",
            "telephone_number": "601-936-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329527",
            "telephone_number": "601-936-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "CHAD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MS",
            "license": "24197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.