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CONDACE DORNELLA COOPER L.D.
NPI 1396987665
Dietitian, Registered in Quitman, GA

Active since April 01, 2009
903 N COURT ST, QUITMAN, GA 31643(229) 263-4171 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Condace Dornella Cooper L.d. NPPES

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

CONDACE DORNELLA COOPER L.D. (NPI 1396987665) is an individual dietitian, registered in Quitman, Georgia, licensed in Georgia (LD003261) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1396987665
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCONDACE DORNELLA COOPERCredential: L.D.
Location Address903 N COURT STQuitman, GA 31643-1315
Mailing Address920 Cairo RdThomasville, GA 31792-4255 · (229) 228-8800 · Fax (229) 228-8892
Phone(229) 263-4171
Sole ProprietorNo
Enumeration DateApril 1, 2009
✔ NPI 1396987665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in GA · LD003261
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
903 N COURT ST, Quitman, GA 31643
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Other Identifiers 2

Other925267GA · Registered Dietitian
OtherLD003261GA · License

Other Providers at the Same Location NPPES 10

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

LAVERNE JACKSON
Clinic/Center (Primary Care)
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-7147
BROOKS COUNTY HOSPITAL
Radiology (Diagnostic Radiology)
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
JENNIFER JOINER MED.CCC-SLP
Speech-Language Pathologist
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-6327
MRS. KERRI DAWN KELLEY P.T.
Physical Therapist
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-6327
BROOKS COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
BROOKS COUNTY HOSPITAL
Clinical Medical Laboratory
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
BROOKS COUNTY HOSPITAL
Radiology (Diagnostic Radiology)
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
BROOKS COUNTY HOSPITAL
Medicare Defined Swing Bed Unit
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171

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 Condace Cooper's NPI number?

The NPI number for Condace Cooper is 1396987665. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Condace Cooper located?

Condace Cooper practices at 903 N Court St, Quitman, GA 31643. The listed phone number is (229) 263-4171.

What is Condace Cooper's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Condace Cooper was last updated on April 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.