JARED COOPER (NP) – Nurse Practitioner, NPI 1124516661

JARED COOPER (NP) is a healthcare provider. based in East point, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024186982 (VA). The NPI Number for JARED COOPER (NP) is 1124516661

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JARED COOPER (NP)
NPI
1124516661
Phone
(773) 297-3855
Address
1342 JEFFERSON AVE
Enumeration Date
30 April 2018
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047646000
Graduation Year
2017 (9 years ago)
PAC ID
5597017343
Group Practice PAC ID
1759611411
Professional Enrollment ID
I20250910000071
Address ID
VA231161844ME8260XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

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Provider Addresses for JARED COOPER (NP)

  • East Point, Jefferson County, Missouri, 63025, United States

    EAST POINT, GA 303442662

    Phone: (773) 297-3855

    Type: Mailing

  • 120 HICKSVILLE RD

    BETHPAGE, NY 117143443

    Phone: (516) 717-1839

    Type: Mailing

  • Navicent Health, 777, Hemlock Street, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312012102

    Phone: (478) 633-1000

    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 $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Stryker Corporation ($133).

Total Amount

$151

General + Research + Ownership

Payments

2

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-12-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

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
I20181006000180INurse PractitionerGATBD
I20191121002918INurse PractitionerNYTBD
I20230317000165INurse PractitionerMATBD
I20250910000071INurse PractitionerVATBD
I20251212000174INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 30344)

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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: 1759611411View full group profile
NameSpecialtyState
Cardiac SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Internal MedicineFL
Nurse PractitionerMD
Nurse PractitionerVA
Critical Care (Intensivists)VA
Critical Care (Intensivists), Pulmonary DiseaseVA
Critical Care (Intensivists)VA
Pulmonary DiseaseVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What NPI should I save for JARED COOPER (NP)?
Save NPI 1124516661 if you need a stable reference for JARED COOPER (NP).
Is JARED COOPER (NP)'s NPI currently valid?
The extract we use shows JARED COOPER (NP) as active.
What field does JARED COOPER (NP) work in?
You can think of JARED COOPER (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for JARED COOPER (NP)?
The page summarizes East Point, Georgia for JARED COOPER (NP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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