DR. CARROLL DONELL COOPER M.D. NPI 1861570012

NPI Information

  • NPI: 1861570012
  • Provider Name: DR. CARROLL DONELL COOPER, M.D.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • Address: 251 MEDICAL WAY
    SUITE B
    RIVERDALE, GA
    ZIP 30274
  • Phone: (678) 974-0158

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NPI Details

DR. Carroll Donell Cooper, M.D. is an interventional pain medicine pain medicine in Riverdale, GA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Carroll Donell Cooper, M.D. NPI is 1861570012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

251 MEDICAL WAY
SUITE B
RIVERDALE, GA
ZIP 30274-522
Phone: (678) 974-0158

The enumeration date for this NPI number is 11/2/2006 and was last updated on 4/27/2017.

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
12081P2900XPhysical Medicine & RehabilitationPain Medicine63309GEORGIANo
2208VP0014XPain MedicineInterventional Pain Medicine63309GEORGIAYes

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: 3/30/2025

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