P Praxis·MD
● Active Type 1 · Individual

Jessica Cooper

Specialist/Technologist·Guyton, GA· NPI 1558047084 · Enumerated 2023 · 2 years on NPI
Cooper is 1 of 1 specialist/technologist providers in Guyton and 1 of 25 in Georgia.
NPI age
2 years
Enumerated 2023-06-27
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 25 active specialist/technologist providers in Georgia.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Practice location
118 Royal Oak Dr
Guyton, GA 313125624
📞 9126657471
Mailing address
118 Royal Oak Dr
Guyton, GA 313125624
📞 9126657471

Specialties

  • Specialist/Technologist Primary
    Definition to come...
    GA license #SLPA000457 taxonomy 2355S0801X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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