Carli J Cooper, DO - Medicare Family Practice in Kingsport, TN

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Carli J Cooper, DO is a medicare enrolled "Family Medicine" physician in Kingsport, Tennessee. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Champion Physical Therapy Llc Halls, State Of Franklin Healthcare Associates, Pllc and her current practice location is 444 Clinchfield St Ste 2800, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 230-2800.

Carli J Cooper is licensed to practice in Tennessee (license number DO3035) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861732968.

Contact Information

Carli J Cooper, DO
444 Clinchfield St Ste 2800,
Kingsport, TN 37660-3858
(423) 230-2800
(423) 239-7750

Map and Direction




Physician's Profile

Full NameCarli J Cooper
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location444 Clinchfield St Ste 2800, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carli J Cooper graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1861732968
  • Provider Enumeration Date: 02/26/2013
  • Last Update Date: 03/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658505375
  • Enrollment ID: I20160809000470

Medical Identifiers

Medical identifiers for Carli J Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861732968NPI-NPPES
6071441OtherTNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine LL1700 (South Carolina)Secondary
207Q00000XFamily Medicine DO3035 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Champion Physical Therapy Llc Halls1355416306228
State Of Franklin Healthcare Associates, Pllc2466346291247

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carli J Cooper allows following entities to bill medicare on her behalf.
Entity NameMountain Region Family Medicine P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467565804
PECOS PAC ID: 5890699961
Enrollment ID: O20031120000676
Entity NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carli J Cooper is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carli J Cooper, DO
Po Box 3889,
Johnson City, TN 37602-3889

Ph: (423) 230-2800		Carli J Cooper, DO
444 Clinchfield St Ste 2800,
Kingsport, TN 37660-3858

Ph: (423) 230-2800

Reviews and Comments


Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663
Phone: 423-239-5141    Fax: 423-239-4869
Douglas J. Rose, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 E Ravine Rd, Kingsport, TN 37660
Phone: 423-245-9600    Fax: 423-245-9634
Dr. Chad Bates, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660
Phone: 423-857-2260    
Dr. Edward Monty Stirman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-323-6200    Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7000    
Jerry Miller, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-392-6200    
Ms. Lesley Ann Jones, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660
Phone: 423-247-0462    Fax: 423-247-0465

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.