COOPER SCOTT MANLEY (DO) – Family Medicine Physician, NPI 1053054239

COOPER SCOTT MANLEY (DO) is a healthcare provider. based in Memphis, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. E-19546 (AR). The NPI Number for COOPER SCOTT MANLEY (DO) is 1053054239

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
COOPER SCOTT MANLEY (DO)
NPI
1053054239
Phone
(901) 448-0276
Address
1301 PRIMACY PKWY
Enumeration Date
15 April 2022
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
4797545454
Graduation Year
2022 (4 years ago)
PAC ID
2860909488
Group Practice PAC ID
3779076591
Professional Enrollment ID
I20250729001968
Address ID
AR728304419CL1100XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,211 FAMILY PRACTICE in TN

Provider Addresses for COOPER SCOTT MANLEY (DO)

  • 1301 PRIMACY PKWY

    MEMPHIS, TN 381190213

    Phone: (901) 448-0276

    Type: Location

  • 957 BENDING PINE LN

    CORDOVA, TN 380180438

    Phone: (423) 664-3650

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-29

PECOS data refreshed: 2026-06-15

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
I20250729001968IFamily PracticeARTBD

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 38119)

Loading plans...

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: 3779076591View full group profile
NameSpecialtyState
Emergency Medicine, General PracticeAR
Nurse PractitionerAR
Emergency Medicine, Family PracticeAR
Family PracticeMS
Physician AssistantAR
Emergency MedicineAR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for COOPER SCOTT MANLEY (DO) in the U.S.?
In the U.S., COOPER SCOTT MANLEY (DO) is identified by NPI 1053054239.
Should I treat COOPER SCOTT MANLEY (DO) as an active provider?
Patients and plans typically see COOPER SCOTT MANLEY (DO) as active in the national extract.
What type of care does COOPER SCOTT MANLEY (DO) provide?
COOPER SCOTT MANLEY (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to COOPER SCOTT MANLEY (DO)?
COOPER SCOTT MANLEY (DO) shows a connection to Memphis, Tennessee in registry-derived data.
Why is information missing for COOPER SCOTT MANLEY (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

315 SE 14th St
NPI: 1104829274

CHRISTOPHER ANTHONY WITHERSPOON (MD)

Sports Medicine (Family Medicine) Physician
Joe Ramsey Boulevard, Greenville, Hunt County, Texas, 75402, United States
NPI: 1295730786

DR. MARTIN VERNON ACREE (M.D.)

Family Medicine Physician
PO BOX 1000 DEPT 297
NPI: 1043217060

JOYCE B BRASFIELD (M.D.)

Family Medicine Physician
PO BOX 1000
NPI: 1922005941

DR. CHERYL K GILES (M.D.)

Family Medicine Physician
Westwood Drive, Sedalia, Pettis County, Missouri, 65301, United States
NPI: 1275530222

SHEILA M THOMAS (MD)

Family Medicine Physician
Park Avenue, White Station, Memphis, Shelby County, Tennessee, 38120, United States
NPI: 1518965128

WILLIAM HARDEE MCCLATCHY (MD)

Family Medicine Physician
7235, Hacks Cross Road, Olive Branch, DeSoto County, Mississippi, 38654, United States
NPI: 1871592659

DR. SHREAREST CRENSHAW JOHNSON (M.D.)

Family Medicine Physician
14900 SW 30TH ST UNIT 279366
NPI: 1619976735

Shelby County Government

Family Medicine Physician
Regional Medical Center, 877, Jefferson Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38103, United States
NPI: 1073514055