1. Home
  2. Directory
  3. Georgia
  4. East Point
  5. Nurse Practitioner
  6. NPI Profile

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: October 18, 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
Phone(404) 763-0405
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Cooper reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Atlanta Kidney Specialists
16 mi
Nephrology
980 JOHNSON FERRY RD NE, SUITE 410
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1598872434 (404) 252-0256
Community Care Health Network LLC
217 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TRINITY DIALYSIS CLINIC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1354 CLEVELAND AVE
EAST POINT, GA 30344
Fulton County (404) 763-0405

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 Jacqueline Cooper's NPI number?

The NPI number for Jacqueline Cooper is 1629335906. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Jacqueline Cooper located?

Jacqueline Cooper practices at 1354 Cleveland Ave, East Point, GA 30344. The listed phone number is (404) 763-0405.

What is Jacqueline Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacqueline Cooper enrolled in Medicare?

Yes. Jacqueline Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacqueline Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Cooper reassigns Medicare benefits to 2 organizations: North Atlanta Kidney Specialists (Atlanta, GA) and Community Care Health Network LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Cooper was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.