Individual provider Active NPI

Kendra Jordan Cook, APRN/NP

  • Nurse Practitioner
  • Blairsville, GA
National Provider Identifier
1013790096
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN236809 Issued in GA
Practice address
123 Weaver Rd Ste B
Blairsville, GA 30512-3155
Phone
(706) 835-3699
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN236809 GA Primary

Addresses

Primary practice location

123 Weaver Rd Ste B
Blairsville, GA 30512-3155

Mailing address

35 Hospital Rd
Blairsville, GA 30512-3139

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kendracook@uniongeneral.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918002508 GA Practitioner - Nurse Practitioner 9537523956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Practice addresses (Care Compare)

6050 Appalachian Hwy
Blue Ridge, GA 30513-4283
Phone (706) 632-0027

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN236809GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Hospice, Inc. CurrentSince Feb 9, 2026 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Feb 9, 2026 Accepting new patients

Locations

6050 Appalachian Hwy
Blue Ridge, GA 30513
Phone (706) 632-0027

Interoperability endpoints

  • Direct secure messaging: kendracook@uniongeneral.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1013790096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WEAVER RD STE B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123155",
            "telephone_number": "706-835-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KENDRA",
        "middle_name": "JORDAN",
        "credential": "APRN/NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN236809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kendracook@uniongeneral.cernerdirect.com",
            "affiliation": "N",
            "address_1": "123 Weaver Rd Ste B",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305123155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.