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Deactivated NPI 1669941761 Deactivated / Inactive NPI Male Practitioner

Paul-David Arthur Cooper , PEER SUPPORT

Peer Specialist • Savannah, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paul-David Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 19, 2018
NPI Deactivation Date October 25, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Paul-David Cooper, PEER SUPPORT was a registered Peer Specialist practicing in Savannah, GA. Throughout an active medical career spanning 5 years, Paul-David Cooper provided care at the practice location at 117 SHAWNEE STREET until profile deactivation on 2023-10-25.

Practice Location & Contact Primary Location

Practice Address

117 Shawnee Street
Va Savannah Clinic

Savannah, GA 31419

Telephone 9129200214

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Savannah, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Savannah, GA (113 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ryan Creech , PsyD

Psychologist - Clinical

NPI 1033651021

Doctor of Psychology (Psy.D.)

NPI 1063451656

Doctor of Medicine (M.D.)

Dr. Christiane Schneider , PhD

Psychologist - Clinical

NPI 1114133352

Doctor of Philosophy (Ph.D.)

Erika Midock , COTA, CLT

Occupational Therapy Assistant

NPI 1114691045

Certified Occupational Therapy Assistant, Certified Lymphedema Therapist

NPI 1114957446

Doctor of Medicine (M.D.)

Dr. Rachel Maree , MD

Psychiatry & Neurology - Psychiatry

NPI 1124467238

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active November 19, 2018

NPI status registered as active in NPPES database

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Updated Practice Location November 19, 2018

Registered at 117 SHAWNEE STREET, VA SAVANNAH CLINIC, SAVANNAH, GA 31419 (Tel: 9129200214)

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Updated Business Mailing Address November 19, 2018

Registered at 117 SHAWNEE STREET, VA SAVANNAH CLINIC, SAVANNAH, GA 31419 (Tel: 9129200214)

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Provider Name / Credentials Updated November 19, 2018

Recorded as PAUL-DAVID COOPER, PEER SUPPORT

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2018

Peer Specialist

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Initial NPI Registration & Enumeration November 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669941761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2018
Last Update: November 19, 2018
Deactivation Date: October 25, 2023

Mailing Address

117 Shawnee Street, Va Savannah Clinic

Savannah, GA 31419

Phone: 9129200214

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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