1. Home
  2. Directory
  3. Georgia
  4. Tucker
  5. Specialist
  6. NPI Profile

DR. JERRY LEE COOPER MD
NPI 1710080627
Specialist in Tucker, GA

Active since September 06, 2006PECOS Enrolled
92.44/100
CMS Quality Rating
1462 MONTREAL RD, SUITE 411, TUCKER, GA 30084(404) 296-8000(770) 493-6842 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jerry Lee Cooper Md NPPES

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

DR. JERRY LEE COOPER MD (NPI 1710080627) is an individual specialist in Tucker, Georgia, licensed in Georgia (011850) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710080627
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JERRY LEE COOPERCredential: MD
Location Address1462 MONTREAL RD, SUITE 411Tucker, GA 30084-6929
Mailing Address1462 Montreal Rd, Suite 411Tucker, GA 30084-6929 · (404) 296-8000 · Fax (770) 493-6842
Phone(404) 296-8000
Fax(770) 493-6842
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 17, 2015
✔ NPI 1710080627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 011850
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1462 MONTREAL RD, Tucker, GA 30084
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND39641

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Lee Cooper Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.11
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

PERIMETER OB GYN CARE 2 LLC
Obstetrics & Gynecology
1462 MONTREAL RD, SUITE 412
TUCKER, GA 30084
Dekalb County (404) 943-0205
DAMIEN ANTOINE DOUTE MD
Specialist
1462 MONTREAL RD, STE 218
TUCKER, GA 30084
Dekalb County (470) 294-0863
PROF. MARK MONTEROLA
Pharmacy Technician
1462 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 934-0000
MEDICAL ASSOCIATES OF GEORGIA
Internal Medicine
1462 MONTREAL RD, 307
TUCKER, GA 30084
Dekalb County (770) 938-5552
WALKER L RAY JR. MD
Pediatrics
1462 MONTREAL RD, STE 411
TUCKER, GA 30084
Dekalb County (770) 491-6360
KIDS & TEENS PRIMARY HEALTH CARE OF ATLANTA, P.C.
Pediatrics (Adolescent Medicine)
1462 MONTREAL RD, STE 212
TUCKER, GA 30084
Dekalb County (404) 875-4261
STANLEY GENE PANG RD, LD
Dietitian, Registered
1462 MONTREAL RD, SUITE 203
TUCKER, GA 30084
Dekalb County (770) 674-5458
ADVANCED ORTHOPEDIC SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1462 MONTREAL RD, SUITE 109
TUCKER, GA 30084
Dekalb County (770) 333-7888

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 Jerry Cooper's NPI number?

The NPI number for Jerry Cooper is 1710080627. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Jerry Cooper located?

Jerry Cooper practices at 1462 Montreal Rd Suite 411, Tucker, GA 30084. The listed phone number is (404) 296-8000.

What is Jerry Cooper's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jerry Cooper enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jerry Cooper was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.