Dr Randy Wilson Cooper, MD | |
818 Saint Sebastian Way Ste 104, Augusta, GA 30901-2652 | |
(706) 434-0130 | |
(706) 434-0131 |
Full Name | Dr Randy Wilson Cooper |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 51 Years |
Location | 818 Saint Sebastian Way Ste 104, Augusta, 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 |
---|---|---|---|
1083612352 | NPI | - | NPPES |
G22737 | Medicaid | SC | |
000221625A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 022737 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Providers Llc | 9830082825 | 367 |
Entity Name | Piedmont Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
Entity Name | Umg General Surgery Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306250907 PECOS PAC ID: 4587885249 Enrollment ID: O20141021002506 |
Mailing Address | Practice Location Address |
---|---|
Dr Randy Wilson Cooper, MD Po Box 1705, Augusta, GA 30903-1705 Ph: (706) 854-6008 | Dr Randy Wilson Cooper, MD 818 Saint Sebastian Way Ste 104, Augusta, GA 30901-2652 Ph: (706) 434-0130 |
Dr. Erika Simmerman Mabes, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3052 Fax: 706-721-7501 | |
Dr. Elizabeth D Fox, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Mary Kathryn Boggs, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909 Phone: 706-504-9712 Fax: 706-504-9703 | |
Dr. James Raley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2503 Fax: 706-721-1047 | |
Dr. Kathryne Holmes, MD Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St Rm Bi4076, Augusta, GA 30912 Phone: 706-721-4651 | |
Mr. Keith F. O'malley, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3671 | |
Dr. Thuy-huong Thi Pham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Bl 4070, Augusta, GA 30912 Phone: 706-721-0000 Fax: 706-721-1047 |