JESSICA LYN COOPER (M.D.) – Obstetrics & Gynecology Physician, NPI 1548791312

JESSICA LYN COOPER (M.D.) is a healthcare provider. based in Conyers, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 89506 (GA). The NPI Number for JESSICA LYN COOPER (M.D.) is 1548791312

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LYN COOPER (M.D.)
NPI
1548791312
Phone
(770) 860-1133
Address
3240 AVALON BLVD
Enumeration Date
23 March 2017
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
7708601133
Graduation Year
2017 (9 years ago)
PAC ID
5193099257
Group Practice PAC ID
1153390497
Professional Enrollment ID
I20230420001477
Address ID
GA300136320CO3240XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for JESSICA LYN COOPER (M.D.)

  • 3240 AVALON BLVD

    CONYERS, GA 300136320

    Phone: (770) 860-1133

    Fax: (770) 860-1941

    Type: Mailing

  • 720 Westview Dr SW

    Atlanta, GA 303101458

    Phone: (404) 616-1692

    Type: Location

  • 390 STOVALL ST SE UNIT 1204

    ATLANTA, GA 303161529

    Phone: (318) 359-1814

    Type: Mailing

  • 81 UPPER RIVERDALE RD SW

    RIVERDALE, GA 302742634

    Phone: (770) 996-1200

    Type: Location

  • 3601, Dee Street, Shreveport, Caddo Parish, Louisiana, 71105, United States

    APT. 1606

    SHREVEPORT, LA 711052649

    Phone: (318) 359-1814

    Type: Mailing

  • Morehouse School of Medicine, 720, Westview Drive Southwest, Joel Chandler Harris Homes, Atlanta, Fulton County, Georgia, 30310, United States

    ATLANTA, GA 303101458

    Phone: (404) 616-1692

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $328.

Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($95).

Total Amount

$328

General + Research + Ownership

Payments

12

Total payment records

General Amount

$328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2023-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230420001477IObstetrics/GynecologyGATBD

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 30013)

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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: 1153390497View full group profile
NameSpecialtyState
-GA
Certified Nurse Midwife (Cnm)GA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
Nurse PractitionerGA
-GA
Certified Nurse Midwife (Cnm)GA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JESSICA LYN COOPER (M.D.)?
JESSICA LYN COOPER (M.D.) — NPI 1548791312 — is the standard way to identify this listing.
Is JESSICA LYN COOPER (M.D.) listed as active for patients and plans?
The listing shows JESSICA LYN COOPER (M.D.) as active in the NPI system.
What taxonomy line describes JESSICA LYN COOPER (M.D.)?
For research purposes, treat JESSICA LYN COOPER (M.D.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JESSICA LYN COOPER (M.D.) on a map?
Expect Conyers, Georgia as a primary anchor for JESSICA LYN COOPER (M.D.) unless the record lists multiple sites.
Why does JESSICA LYN COOPER (M.D.) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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