Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zachary Mayne Cooper, PA-C

Individual provider Physician Assistant · NPI 1639805948

Zachary Mayne Cooper, PA-C is a Physician Assistant in Spartanburg, South Carolina. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in South Carolina and Virginia.

Years since qualifying
4
Licensed in
SC, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 E Wood St
Spartanburg, SC 29303-3040
Phone: (864) 560-7025
Fax: (864) 560-7388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6000 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110009469 (VA)

Record details

NPI number1639805948
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2022
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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