KATIE LYNN COOPER
NPI 1588438857
Nurse Practitioner - Primary Care in Bremen, GA

Active since November 08, 2023PECOS Enrolled
222 GORDON ST, BREMEN, GA 30110(770) 537-1234 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 12, 2026, Nov 8, 2023 (2 updates tracked since 2023).

About Katie Lynn Cooper NPPES

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

KATIE LYNN COOPER (NPI 1588438857) is an individual primary care provider in Bremen, Georgia, licensed in Georgia (APRN-NP302846) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1588438857
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKATIE LYNN COOPER
Location Address222 GORDON STBremen, GA 30110-1519
Mailing Address141 Harper RdBremen, GA 30110-3341
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 8, 2023
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1588438857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in GA · APRN-NP302846
Also ListedRegistered NurseTaxonomy 163W00000X · License RN302846 (GA)
222 GORDON ST, Bremen, GA 30110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katie Lynn Cooper is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860969938
PECOS Enrollment IDI20260427000370
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner
222 GORDON ST
BREMEN, GA 30110
Physician Assistant
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner
222 GORDON ST
BREMEN, GA 30110
Health and Wellness Coach
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner (Family)
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner
222 GORDON ST
BREMEN, GA 30110
Family Medicine
222 GORDON ST
BREMEN, GA 30110

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 Katie Cooper's NPI number?

The NPI number for Katie Cooper is 1588438857. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Where is Katie Cooper located?

Katie Cooper practices at 222 Gordon St, Bremen, GA 30110. The listed phone number is (770) 537-1234.

What is Katie Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Katie Cooper enrolled in Medicare?

Yes. Katie Cooper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Cooper was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.