Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEELEY COOPER DDS
NPI 1821984063
Dentist - General Practice in Lenoir City, TN

Active since June 16, 2025PECOS Enrolled
5500 CREEKWOOD PARK BLVD, LENOIR CITY, TN 37772(865) 986-8082 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Sep 10, 2026, Aug 19, 2026 and 1 more (4 updates tracked since 2025).

About Keeley Cooper Dds NPPES

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

KEELEY COOPER DDS (NPI 1821984063) is an individual general practice provider in Lenoir City, Tennessee, licensed in Tennessee (13296) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Dentistry (2025).

NPPES Registry Identity

NPI1821984063
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKEELEY COOPERCredential: DDS
Location Address5500 CREEKWOOD PARK BLVDLenoir City, TN 37772-1200
Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344 · Fax (423) 714-2355
Sole ProprietorNo
Medical School CMSHoward University College Of DentistryGraduated 2025
Enumeration DateJune 16, 2025
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1821984063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 13296
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5500 CREEKWOOD PARK BLVD, Lenoir City, TN 37772

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1456810498
PECOS Enrollment IDI20260828003643
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 Keeley Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
6350 W ANDREW JOHNSON HWY
Talbott, TN 37877
  • Reassigned Medicare billing, Tennessee enrollment
  • 257 clinicians in this Medicare group

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 37772 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 15

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

Nurse Practitioner (Adult Health)
5500 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772
Nurse Practitioner (Psychiatric/Mental Health)
5500 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772
Technician, Pathology (Phlebotomy)
5500 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772
Pharmacy Technician
5500 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772
Case Manager/Care Coordinator
5500 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772
Nurse's Aide
5500 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772
Social Worker (Clinical)
5500 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772
Clinic/Center (Federally Qualified Health Center (FQHC))
5500 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772

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 Keeley Cooper's NPI number?

The NPI number for Keeley Cooper is 1821984063. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Keeley Cooper located?

Keeley Cooper practices at 5500 Creekwood Park Blvd, Lenoir City, TN 37772. The listed phone number is (865) 986-8082.

What is Keeley Cooper's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Keeley Cooper enrolled in Medicare?

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

Which organization bills Medicare for Keeley Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keeley Cooper reassigns Medicare benefits to Cherokee Health Systems (Talbott, TN). 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 Keeley Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keeley Cooper accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Keeley Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keeley Cooper was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.