Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Cooper, NP

Individual provider Nurse Practitioner · NPI 1124516661

Jared Cooper, NP is a Nurse Practitioner in Macon, Georgia. Qualified in 2017, 9 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
9
Licensed in
GA, VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

777 Hemlock St
Macon, GA 31201-2102
Phone: (478) 633-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024186982 (VA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 179606 (GA)

Record details

NPI number1124516661
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address120 Hicksville Rd, Bethpage, NY 11714-3443

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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