Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568420107 Individual Practitioner Female Practitioner

Dr. Vidette V Cooper , MD

Internal Medicine • Dunn, NC

Professional Overview & Biography Verified Profile Summary

Dr. Vidette Cooper, MD is a registered healthcare professional specializing in Internal Medicine in Dunn, NC. Practice services are available at 803 TILGHMAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

803 Tilghman Dr
Suite 100

Dunn, NC 283345509

Telephone 9108921091
Fax 9108921097
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dunn, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Dunn, NC (4209 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License SC 22230

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5909335 (NC)
Medicaid State Provider ID
T64356 (SC)
Medicaid State Provider ID
764356 (SC)
Commercial Insurance / Payer ID Medicaid Group
GP4840 (SC)
Commercial Insurance / Payer ID Medicaid Group
GP4306 (SC)
Commercial Insurance / Payer ID Medicaid Group
GP1883 (SC)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Taiwo Fubara

Nurse Practitioner - Family

NPI 1518554617
Dr. Jason Moss , PharmD, CPP

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1568781763

Doctor of Pharmacy (Pharm.D.), CPP

Anna Koch , PA-C

Physician Assistant

NPI 1730889577

Physician Assistant (Certified)

Dr. David Tolentino , DO

Internal Medicine

NPI 1750383550

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2014

Registered at 803 TILGHMAN DR, SUITE 100, DUNN, NC 283345509 (Tel: 9108921091)

📍
Updated Business Mailing Address March 11, 2014

Registered at 803 TILGHMAN DR, SUITE 100, DUNN, NC 283345509 (Tel: 9108921091)

👤
Provider Name / Credentials Updated March 11, 2014

Recorded as VIDETTE COOPER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2014

Internal Medicine (License #22230 in SC)

🟢
Initial NPI Registration & Enumeration May 03, 2006

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: 1568420107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: March 11, 2014
Sole Proprietor: No

Mailing Address

803 Tilghman Dr, Suite 100

Dunn, NC 283345509

Phone: 9108921091

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.