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Deactivated NPI 1801086111 Deactivated / Inactive NPI Female Practitioner

Georgette M Cooper , PHYSICIAN ASSISTANT

Physician Assistant • Santa Fe, NM

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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, Georgette Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2007
NPI Deactivation Date June 22, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Georgette Cooper, PHYSICIAN ASSISTANT was a registered Physician Assistant practicing in Santa Fe, NM. Throughout an active medical career spanning 14 years, Georgette Cooper provided care at the practice location at 1301 DECLOVINA ST until profile deactivation on 2021-06-22.

Practice Location & Contact Primary Location

Practice Address

1301 Declovina St

Santa Fe, NM 875053215

Telephone 5054244822

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Santa Fe, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
46 Specialists

Practicing in Santa Fe, NM (865 Statewide)

Telehealth Adoption Rate
8.7% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM 94 PA 27

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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 June 22, 2021

Record deactivated on June 22, 2021

NPI Profile Active August 01, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 01, 2007

Registered at 1301 DECLOVINA ST, SANTA FE, NM 875053215 (Tel: 5054244822)

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Updated Business Mailing Address August 01, 2007

Registered at 1301 DECLOVINA, SANTA FE, NM 875053215 (Tel: 5054244822)

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Provider Name / Credentials Updated August 01, 2007

Recorded as GEORGETTE COOPER, PHYSICIAN ASSISTANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2007

Physician Assistant (License #94 PA 27 in NM)

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Initial NPI Registration & Enumeration August 01, 2007

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: 1801086111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2007
Last Update: August 01, 2007
Deactivation Date: June 22, 2021

Mailing Address

1301 Declovina

Santa Fe, NM 875053215

Phone: 5054244822

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.