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

Mary Alice Cooper, PA

Individual provider Physician Assistant · NPI 1104939685

Mary Alice Cooper, PA is a Physician Assistant in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1525 Clifton Rd NE Ste 207
Atlanta, GA 30322-4200
Phone: (404) 778-4451
Fax: (404) 778-4355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001773 (GA)

Record details

NPI number1104939685
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 8, 2007

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