OZITA DAREACE COOPER (MD) – Emergency Medicine Physician, NPI 1508934191
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,513 EMERGENCY MEDICINE in GA
Provider Addresses for OZITA DAREACE COOPER (MD)
3645 MARKETPLACE BLVD # 130332
EAST POINT, GA 303445747
Phone: (833) 633-3632
Type: Mailing
3645 MARKETPLACE BLVD
EAST POINT, GA 303445747
Phone: (833) 633-3632
Type: Location
861, Southwest 78th Avenue, Plantation, Broward County, Florida, 33324, United States
SUITE # 100B
PLANTATION, FL 333243273
Phone: (954) 693-0000
Fax: (954) 693-0005
Type: Mailing
Upson Regional Medical Center, 801, West Gordon Street, Thomaston, Upson County, Georgia, 30286, United States
THOMASTON, GA 302863426
Phone: (706) 647-5590
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-07-21 • Largest payer in this snapshot: ABBVIE INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $16 |
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: 2025-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040204000561 | I | Emergency Medicine | GA | TBD |
| I20120128000013 | I | Emergency Medicine | MO | TBD |
| I20201029000331 | I | Emergency Medicine | TX | TBD |
| I20250801003329 | I | Emergency Medicine | NY | TBD |
| I20250808003439 | I | Emergency Medicine | NJ | TBD |
| I20250812001098 | I | Emergency Medicine | CA | TBD |
| I20250821003357 | I | Emergency Medicine | NC | TBD |
| I20250825002565 | I | Emergency Medicine | IL | TBD |
| I20250825003865 | I | Emergency Medicine | WA | TBD |
| I20250829004574 | I | Emergency Medicine | TN | TBD |
| I20251130000020 | I | Emergency Medicine | CO | TBD |
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.
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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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | GA | 71010 | X-ray of chest, 1 view, front | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | HI | |
| Hospitalist, Internal Medicine | NY | |
| Family Practice | TN | |
| Internal Medicine | MI | |
| Internal Medicine | CA | |
| Family Practice | MI |
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