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COOPER PEDIATRICS
NPI 1215138524
Pediatrics in Duluth, GA

Active since May 31, 2007CLIA 11D0856033 · Waiver
3645 HOWELL FERRY RD, SUITE A, DULUTH, GA 30096(678) 473-4738(678) 473-4739 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cooper Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPER PEDIATRICS (NPI 1215138524) is a healthcare organization registered as a pediatrics in Duluth, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Jeffrey Dwain Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1215138524
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOOPER PEDIATRICS
Location Address3645 HOWELL FERRY RD, SUITE ADuluth, GA 30096-3179
Mailing Address3645 Howell Ferry Rd, Suite ADuluth, GA 30096-3179 · (678) 473-4738 · Fax (678) 473-4739
Phone(678) 473-4738
Fax(678) 473-4739
Organization SubpartNo
Authorized OfficialJeffrey Dwain CooperOwner · (678) 473-4738
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215138524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3645 HOWELL FERRY RD, Duluth, GA 30096
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0856033

Cooper Pediatrics · Duluth, GA
Active · expires Aug 23, 2026
CLIA Number11D0856033
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorJeffrey D. Cooper MD Faap
Laboratory Phone(678) 476-4738
Laboratory LocationCooper Pediatrics3645 A Howell Ferry Road, Duluth, GA 30096
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DARRELL RYAN PAHL N.P.
Nurse Practitioner (Pediatrics)
3645 HOWELL FERRY RD
DULUTH, GA 30096
Gwinnett County (678) 473-4738

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooper Pediatrics's NPI number?

The NPI number for Cooper Pediatrics is 1215138524. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Cooper Pediatrics located?

Cooper Pediatrics is located at 3645 Howell Ferry Rd Suite A, Duluth, GA 30096. The listed phone number is (678) 473-4738.

What is Cooper Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Cooper Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0856033) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cooper Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.