JORDAN COOPER (NPI# 1659725117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659725117 |
| Entity Type | Individual |
| Full Name | JORDAN COOPER |
| Practice Address |
2615 Cleveland Hwy Dalton GA 30721-8160 |
| Mailing Address |
1401 Applewood Dr Suite 1 Dalton GA 30720-2699 |
| Practice Telephone | 7062705000 |
| Mailing Telephone | 7062705033 |
| Mailing Fax Number | 7063707749 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982942066 | Jordan Bond Cooper | Nurse Anesthetist, Certified Registered | 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802-2769 | 2013-01-23 |
| 1356639256 | Jordan Cooper | Chiropractor | 4350 Pablo Professional Ct # 110, Jacksonville, FL 32224-3224 | 2011-07-13 |
| 1588725204 | Jordan Todd Cooper | Dentist | 308 N James St, Jacksonville, AR 72076-4018 | 2006-12-13 |
| Street Address |
2615 CLEVELAND HWY |
| City | DALTON |
| State | GA |
| Zip Code | 30721-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164585550 | Highland Rivers Csb | Community/Behavioral Health | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2006-12-18 |
| 1013491588 | Mary Greenway | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2018-09-20 |
| 1639603129 | Mary Beavers | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2017-04-12 |
| 1568812683 | Jacob Jackson | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1811347933 | Gail Barton | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1700232766 | Kristin Anna-marie Burchett | Social Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-05-09 |
| 1467806927 | Jelisa Burse | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| 1568816023 | Amanda Moses | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| 1164897633 | Ray Cook | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2015-12-09 |
| 1619342102 | Sarah Moore | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2015-12-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1063819357 | Kristy Dobes | Case Manager/Care Coordinator | 18690 Church Rd, Dalton, OH 44618-9406 | 2014-12-02 |
| 1316366412 | Sherida Payne | Case Manager/Care Coordinator | 1307 Winton Dr, Dalton, GA 30720-3035 | 2014-04-16 |
| 1326398785 | Erlinda Carrillo Alatorre | Case Manager/Care Coordinator | 1508 Arlington Dr Nw, Dalton, GA 30720-7153 | 2012-09-13 |
| 1912266743 | Jennifer Vaden Farner | Case Manager/Care Coordinator | 709 Vintage Ln, Dalton, GA 30721-6837 | 2012-05-14 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1639528318 | Jasmine Clark | Case Manager/Care Coordinator | 2611 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-03 |
| 1194179655 | Ashley Stevens | Case Manager/Care Coordinator | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-04-20 |
| 1467806927 | Jelisa Burse | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| Find all providers in DALTON | ||||
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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.