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STACY RENEE COOPER NP
NPI 1720844061
Nurse Practitioner - Family in Columbus, GA

Active since February 26, 2024PECOS Enrolled
5529 RODGERS DR, COLUMBUS, GA 31909(706) 405-9711 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2024, Sep 13, 2024 (2 updates tracked since 2024).

About Stacy Renee Cooper Np NPPES

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

STACY RENEE COOPER NP (NPI 1720844061) is an individual family provider in Columbus, Georgia, licensed in Georgia (216057) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720844061
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY RENEE COOPERCredential: NP
Location Address5529 RODGERS DRColumbus, GA 31909-5426
Mailing Address5529 Rodgers DrColumbus, GA 31909-5426 · (706) 405-9711
Phone(706) 405-9711
Sole ProprietorYes
Enumeration DateFebruary 26, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
✔ NPI 1720844061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 216057
Also ListedRegistered NurseTaxonomy 163W00000X · License 216057 (GA)
5529 RODGERS DR, Columbus, GA 31909
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Renee Cooper Np 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 Billing Reassignment

Medicare enrollment records show Stacy Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Family Medicine Clinic, Inc
33 mi
Family Medicine
1787 BROAD STREET, PROVIDENCE FAMILY MEDICINE CLINIC, INC
Lumpkin, GA 31815
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1346590148 (703) 593-6154

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 31909 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.

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 Stacy Cooper's NPI number?

The NPI number for Stacy Cooper is 1720844061. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Stacy Cooper located?

Stacy Cooper practices at 5529 Rodgers Dr, Columbus, GA 31909. The listed phone number is (706) 405-9711.

What is Stacy Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Cooper enrolled in Medicare?

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

Which organization bills Medicare for Stacy Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Cooper reassigns Medicare benefits to Providence Family Medicine Clinic, Inc (Lumpkin, GA). The 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 Stacy 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 Stacy Cooper was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.