CONDACE DORNELLA COOPER (NPI# 1396987665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396987665 |
| Entity Type | Individual |
| Full Name | CONDACE DORNELLA COOPER |
| Credential | L.D. |
| Practice Address |
903 N Court St Quitman GA 31643-1315 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2292634171 |
| Mailing Telephone | 2292288800 |
| Mailing Fax Number | 2292288892 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD003261 | GA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | REGISTERED DIETITIAN | 925267 | 01 |
| GA | LICENSE | LD003261 | 01 |
| Street Address |
903 N COURT ST |
| City | QUITMAN |
| State | GA |
| Zip Code | 31643-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306890942 | Brooks County Hospital | General Acute Care Hospital | 903 N Court St, Quitman, GA 31643-1315 | 2006-05-19 |
| 1184078537 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1639523087 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1538513981 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1134593353 | Laverne Jackson | Clinic/Center | 903 N Court St, Quitman, GA 31643-1315 | 2015-11-27 |
| 1831220227 | Millicent Zipperer Sopt | Speech-Language Pathologist | 903 N Court St, Quitman, GA 31643-1315 | 2007-03-08 |
| 1578637047 | Brooks County Hospital | Medicare Defined Swing Bed Unit | 903 N Court St, Quitman, GA 31643-1315 | 2006-11-17 |
| 1265517023 | Kerri Dawn Kelley | Physical Therapist | 903 N Court St, Quitman, GA 31643-1315 | 2006-10-27 |
| 1194800953 | Jennifer Joiner | Speech-Language Pathologist | 903 N Court St, Quitman, GA 31643-1315 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 W Screven St, Quitman, GA 31643 | 2017-07-26 |
| 1245774025 | Shacora Travis | Contractor | 1200 Carney Road, Quitman, GA 31643 | 2016-12-13 |
| 1528358306 | Thomas Jackson Barrs | Pharmacist | 1103 West Screven St, Quitman, GA 31643 | 2011-04-13 |
| 1326356767 | Robert Eugene Jennings Jr. | Pharmacist | 510 Old Madison Rd, Quitman, GA 31643 | 2010-09-20 |
| 1275854515 | Marable's Heart-to-heart PCh Inc | Home Health | 83 Church Lane, Marable's Heart-to-heart Personal Care Home Inc., Quitman, GA 31643 | 2010-06-22 |
| 1871718577 | Mcleod-gaston Inc | Community/Behavioral Health | 102 N. Madison St., Quitman, GA 31643 | 2007-04-16 |
| 1598804197 | Debra M Seleska | Nurse Practitioner | 907 North Court Street, Quitman, GA 31643 | 2007-02-06 |
| 1437163979 | Robyn E Jimenez | Physician Assistant | 905 N Court St, Quitman, GA 31643 | 2006-07-28 |
| 1366894909 | Starling Blackburn | Pharmacist | 1103 W Screven Street, Rite Aid Pharmacy, Quitman, GA 31643-0000 | 2016-07-07 |
| 1831266949 | South Health District | Public Health or Welfare | 500 E Courtland Ave, Quitman, GA 31643-1165 | 2006-11-30 |
| Find all providers in zip 31643 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
| 1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
| 1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
| 1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
| 1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.