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Active NPI 1396987665 Individual Practitioner Female Practitioner

Condace Dornella Cooper , LD

Dietitian, Registered • Quitman, GA

Professional Overview & Biography Verified Profile Summary

Condace Cooper, LD is a registered healthcare professional specializing in Dietitian, Registered in Quitman, GA. Practice services are available at 903 N COURT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

903 N Court St

Quitman, GA 316431315

Telephone 2292634171
Associated Practice Facility / Clinic
🏢 Brooks County Hospital Facility NPI 1306890942

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Quitman, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Quitman, GA (1541 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License GA LD003261

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
LD003261 (GA)
Commercial Insurance / Payer ID Registered Dietitian
925267 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Laverne Jackson

Clinic/Center - Primary Care

NPI 1134593353
Jennifer Joiner , MEDCCC-SLP

Speech-Language Pathologist

NPI 1194800953

MEDCCCSLP

Kerri Kelley , PT

Physical Therapist

NPI 1265517023

Physical Therapist

Millicent Sopt , MED, CCC-SLP

Speech-Language Pathologist

NPI 1831220227

Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 01, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2009

Registered at 903 N COURT ST, QUITMAN, GA 316431315 (Tel: 2292634171)

📍
Updated Business Mailing Address April 01, 2009

Registered at 920 CAIRO RD, THOMASVILLE, GA 317924255 (Tel: 2292288800)

👤
Provider Name / Credentials Updated April 01, 2009

Recorded as CONDACE COOPER, L.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2009

Dietitian, Registered (License #LD003261 in GA)

🟢
Initial NPI Registration & Enumeration April 01, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1396987665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2009
Last Update: April 01, 2009
Sole Proprietor: No

Mailing Address

920 Cairo Rd

Thomasville, GA 317924255

Phone: 2292288800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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