MELISSA SHUNTA COOPER CMA NPI 1669134300

NPI Information

  • NPI: 1669134300
  • Provider Name: MELISSA SHUNTA COOPER, CMA
  • Classification: Phlebology - 202K00000X
  • Entity Type: Individual
  • Address: 4600 FARMINGTON RD
    WATKINSVILLE, GA
    ZIP 30677
  • Phone: (706) 340-9566

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NPI Details

Melissa Shunta Cooper, CMA is a phlebology in Watkinsville, GA. The provider is phlebology 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 thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. Melissa Shunta Cooper, CMA NPI is 1669134300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4600 FARMINGTON RD
WATKINSVILLE, GA
ZIP 30677-374
Phone: (706) 340-9566

The enumeration date for this NPI number is 10/11/2021 and was last updated on 10/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1202K00000XPhlebology20268794737GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
187-1622293OTHERGEORGIAELITE MOBILE PHLEBOTOMIST OF GA. LLC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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