MEDICARE: ANN C COOPER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101055731	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	237636	OTHER	VA	ANTHEM
2	541595397	OTHER	VA	TRICARE
3	541595397	OTHER	VA	VIRGINIA HEALTH NETWORK
4	22149	OTHER	VA	SENTARA/OPTIMA
5	541595397	OTHER	VA	MID ATLANTIC SOLUTIONS
6	541595397	OTHER	VA	CIGNA
7	541595397	OTHER	VA	PRIVATE HEALTHCARE SYSTEM
8	2321988	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1386617025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN C COOPER MD

Provider Business Mailing Address
First Line	:	PO BOX 746871
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6871
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6206 N MILITARY HWY STE H
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-5447
Country	:	US
Telephone Number	:	757-271-5282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	11/11/2025

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Directions to “ ANN C COOPER MD” Practice Location

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