NPI age
17 years
Enumerated 2009-04-01
● Active
Type 1 · Individual
Condace Dornella Cooper, L.D.
Cooper is 1 of 1 dietitian, registered providers in Quitman and 1 of 1653 in Georgia.
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-04-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
17 years
↑ 10 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Practice location
903 N Court St
Quitman, GA 316431315
Mailing address
920 Cairo Rd
Thomasville, GA 317924255
Specialties
-
Dietitian, Registered PrimaryA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LD003261 | LICENSE |
| 01 (GA) | 925267 | REGISTERED DIETITIAN |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1653 Dietitian, Registered providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.