Joshua Benjamin Cooper, MD

Individual provider Active NPI Diagnostic Radiology Physician · Macon, GA

NPI 1982922365 · NPPES record last updated May 9, 2017

Key facts

NPI
1982922365
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
077601 (GA)
Practice address
770 Pine St
Suite 290
Macon, GA 31201-2173
Phone
(478) 743-1458
Fax
(478) 755-1332
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 5

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Macon PC (64 clinicians)
Georgia Magnetic Imaging Center LTD (39 clinicians)
Central Georgia MRI LLC (46 clinicians)

Practice addresses (Care Compare)

1000 Cowles Clinic Way
Pine Building
Greensboro, GA 30642-5285
Phone (706) 454-2660

1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200

770 Pine St
Macon, GA 31201-7519
Phone (478) 633-1819

770 Pine St
Suite 290
Macon, GA 31201-7516
Phone (478) 743-1458

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital · Macon, GA · CCN 110107
  • Navicent Health Baldwin Hospital · Milledgeville, GA · CCN 110150
  • Coliseum Medical Centers, LLC, Dba Hospital · Macon, GA · CCN 110164
  • Atrium Health Navicent Peach Hospital · Byron, GA · CCN 111310
  • Piedmont Macon North Hospital Hospital · Macon, GA · CCN 110201

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AL, GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110926000294 AL Practitioner - Internal Medicine 3375714223 Reassigns benefits to 2 organizations
I20170612002730 GA Practitioner - Internal Medicine 3375714223 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. Current
since Jul 1, 2016
Accepting new patients
Central Georgia MRI LLC Diagnostic Radiology Current
since May 1, 2017
Accepting new patients
American Family Care, LLC Current
since Aug 9, 2011
Accepting new patients
American Family Care, LLC Current
since Aug 9, 2011
Accepting new patients
American Family Care, LLC Current Accepting new patients
Georgia Magnetic Imaging Center LTD Diagnostic Radiology Current
since May 1, 2017
Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology Current
since May 1, 2017
Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

770 Pine St
Ste L15
Macon, GA 31201
Phone (478) 633-1819

770 Pine St
Ste 290
Macon, GA 31201
Phone (478) 743-1458

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 077601 GA Yes

Addresses

Primary practice location

770 Pine St
Suite 290
Macon, GA 31201-2173

Mailing address

770 Pine St
Suite 290
Macon, GA 31201-2173
Phone (478) 743-1458

Other identifiers

IdentifierTypeStateIssuer
131722MedicaidAL
131725MedicaidAL
131724MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 9, 2017.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1982922365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PINE ST",
            "address_2": "SUITE 290",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012173",
            "telephone_number": "478-743-1458",
            "fax_number": "478-755-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST",
            "address_2": "SUITE 290",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012173",
            "telephone_number": "478-743-1458",
            "fax_number": "478-755-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOSHUA",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "077601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131722",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131725",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131724",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

All providers in Macon, GA · Diagnostic Radiology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.