MRS. JACQUELINE HALL COOPER NP
NPI 1629335906
Nurse Practitioner - Adult Health in East Point, GA

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
1354 CLEVELAND AVE, EAST POINT, GA 30344(404) 763-0405(404) 763-4223 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jacqueline Hall Cooper Np NPPES

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

MRS. JACQUELINE HALL COOPER NP (NPI 1629335906) is an individual adult health provider in East Point, Georgia, licensed in Georgia (GAA-NP001048) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roswell, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1629335906
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. JACQUELINE HALL COOPERCredential: NP
Location Address1354 CLEVELAND AVEEast Point, GA 30344-3431
Mailing Address9879 Milton CtDouglasville, GA 30135-7628 · (856) 287-9461
Fax(404) 763-4223
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 11, 2012
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1629335906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in GA · GAA-NP001048 Licensed in NJ · 26NJ0036900 Licensed in PA · SP012024
1354 CLEVELAND AVE, East Point, GA 30344

Secondary Practice Location 1

Location 11250 Northmeadow Pkwy Ste 120Roswell, GA 30076-4914 · Phone (833) 356-2958

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jacqueline Hall Cooper Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335370337
PECOS Enrollment IDI20251105004170
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 30344 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1354 CLEVELAND AVE
EAST POINT, GA 30344

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629335906, enumerated as an "individual" on April 11, 2012.

The provider is located at 1354 CLEVELAND AVE EAST POINT, GA 30344 and the phone number is (404) 763-0405.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.