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
Hospital & facility affiliations 5
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
Georgia Magnetic Imaging Center LTD
Central Georgia MRI LLC
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
- Navicent Health Baldwin
- Coliseum Medical Centers, LLC, Dba
- Atrium Health Navicent Peach
- Piedmont Macon North Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| Central Georgia MRI LLC | Diagnostic Radiology | Current |
Accepting new patients |
| American Family Care, LLC | Current |
Accepting new patients | |
| American Family Care, LLC | Current |
Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Georgia Magnetic Imaging Center LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Associates of Macon PC | Diagnostic Radiology | Current |
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
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131722 | Medicaid | AL | |
| 131725 | Medicaid | AL | |
| 131724 | Medicaid | AL |
NPI Registry JSON
{
"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
- Meshell Denice Cook
- Rebekah Coon
- Brenda Gail Cooper
- Donald Allen Cooper
- Jared Cooper
- Judy Lynn Cooper
- Heather Charlotte Copan
- Caitlin Michele Corley
- Cornerstone Caregiving East LLC
- Cornerstone Women'S Health, P.C.
All providers in Macon, GA · Diagnostic Radiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2017. 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.