Dr. Randy Wilson Cooper, M.D.
Dr. Randy Wilson Cooper is a Surgery Physician provider (Surgery) practicing in Augusta, GA, registered in the NPPES registry with NPI 1083612352 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083612352 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Randy Wilson Cooper |
| Credential | M.D. |
| Sex | Male |
| Practice address | 818 SAINT SEBASTIAN WAY STE 104, Augusta, GA, 30901 |
| Phone | 7064340130 |
| Fax | 7064340131 |
| Enumeration date | 2005-07-12 |
| Last updated in NPPES | 2022-03-23 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 022737 | GA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G22737 | Medicaid | SC | — |
| 000221625A | Medicaid | GA | — |
Copy-ready billing details
Provider: Randy Cooper, M.D. NPI: 1083612352 Taxonomy: 208600000X (Surgery Physician) Address: 818 SAINT SEBASTIAN WAY STE 104, Augusta, GA, 30901
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629050174 | Billy Lynn | Individual | Plastic Surgery Physician | Augusta, GA |
| 1720092471 | Matthew Mondi | Individual | Surgery Physician | Augusta, GA |
| 1124346226 | Takeyla Williams | Individual | Surgery Physician | Augusta, GA |
| 1144619875 | Shelley Young | Individual | Physician Assistant | Augusta, GA |
| 1568342624 | Aubrey Kamariotis | Individual | Physician Assistant | Augusta, GA |
Verify this record
Cross-check NPI 1083612352 against the authoritative CMS record: view Dr. Randy Wilson Cooper on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-03-23.