| Lynn D Cooper, MD | |
|
2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067-9319 | |
| (770) 951-1793 | |
| (770) 612-3380 |
| Full Name | Lynn D Cooper |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 22 Years |
| Location | 2275 Northwest Parkway Se, Marietta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366658437 | NPI | - | NPPES |
| 460052 | Other | GA | WELLCARE |
| 268886060A | Medicaid | GA | |
| 1366658437 | Other | GA | TRICARE |
| 127019900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | 061056 (Georgia) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 061056 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory University Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Skin Cancer And Aestheitic Dermatology, Llc | 0244328649 | 25 |
| Aqua Dermatology Of Georgia Pc | 6800885757 | 49 |
| Naaman Clinic, Llc | 5799082699 | 7 |
| Entity Name | Aqua Dermatology Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114022167 PECOS PAC ID: 6800885757 Enrollment ID: O20040507000201 |
| Entity Name | Georgia Skin Cancer & Aestheitic Dermatology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205026168 PECOS PAC ID: 0244328649 Enrollment ID: O20071119000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn D Cooper, MD 14275 Midway Rd, Suite 400, Addison, TX 75001-3614 Ph: (770) 951-1793 | Lynn D Cooper, MD 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067-9319 Ph: (770) 951-1793 |
Burton Kim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Dr. Weijian Zhu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 488 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 404-888-7575 Fax: 678-631-4624 | |
Dr. Sara Nolting, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 | |
Dr. Sara Elizabeth Nash, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067 Phone: 770-951-1793 | |
Dr. Carol P Crisco, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 | |
Haohai Liang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5505 Fax: 770-793-7919 | |
Dr. Aimee Popp, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 Fax: 770-793-5472 |