JESANNA CAROLAN COOPER (M.D.) – Obstetrics & Gynecology Physician, NPI 1083811459

JESANNA CAROLAN COOPER (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 28204 (AL). The NPI Number for JESANNA CAROLAN COOPER (M.D.) is 1083811459

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JESANNA CAROLAN COOPER (M.D.)
NPI
1083811459
Phone
(205) 780-7101
Address
PO BOX 12366
Enumeration Date
29 June 2007
Last Update Date
16 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3342227337
Graduation Year
2003 (23 years ago)
PAC ID
8123114048
Group Practice PAC ID
7315043007
Professional Enrollment ID
I20071023000440
Address ID
AL364205364AN109XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

587 OBSTETRICS/GYNECOLOGY in AL

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Provider Addresses for JESANNA CAROLAN COOPER (M.D.)

  • PO BOX 12366

    BIRMINGHAM, AL 352022366

    Phone: (205) 780-7101

    Fax: (205) 206-8338

    Type: Mailing

  • 832, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35211, United States

    BIRMINGHAM, AL 352111320

    Phone: (205) 206-8477

    Fax: (205) 397-0986

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-02-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$35
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (952 days ago).

Enrollment records

1

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071023000440IObstetrics/GynecologyAL2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315043007View full group profile
NameSpecialtyState
General SurgeryAL
Nurse PractitionerAL
Orthopedic SurgeryOK
General SurgeryAL
Nurse PractitionerAL
U R O L O G YFL
Nurse PractitionerAL
Nurse PractitionerAL
Emergency Medicine, Family PracticeSC
Nurse PractitionerAL

Reviews

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Frequently asked questions

How is JESANNA CAROLAN COOPER (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JESANNA CAROLAN COOPER (M.D.) with NPI 1083811459.
Is JESANNA CAROLAN COOPER (M.D.) still practicing?
JESANNA CAROLAN COOPER (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does JESANNA CAROLAN COOPER (M.D.) hold?
Scheduling teams often label JESANNA CAROLAN COOPER (M.D.) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JESANNA CAROLAN COOPER (M.D.)?
JESANNA CAROLAN COOPER (M.D.)'s geographic hint is Birmingham, Alabama in our summary view.
Why does JESANNA CAROLAN COOPER (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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