NPI age
4 years
Enumerated 2021-10-11
● Active
Type 1 · Individual
Melissa Shunta Cooper, CMA
Cooper is 1 of 2 phlebology providers in Watkinsville and 1 of 17 in Georgia.
Primary specialty
Phlebology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 17 active phlebology providers in Georgia.
NPI age
4 years
≈ at median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Practice location
4600 Farmington Rd
Watkinsville, GA 306774374
Mailing address
4600 Farmington Rd
Watkinsville, GA 306774374
Specialties
-
Phlebology PrimaryPhlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 87-1622293 | ELITE MOBILE PHLEBOTOMIST OF GA. LLC |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- 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.