Noah Christian Cook, PA-C
Individual provider Active NPI Physician Assistant · Marion, VA
NPI 1043040124 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1043040124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110010511 (VA)
- Practice address
- 565 Radio Hill Rd
Marion, VA 24354-6587 - Phone
- (804) 980-1882
- NPI assigned
- Aug 5, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centra Medical Group LLC
Practice addresses (Care Compare)
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-5999
Hospital & facility affiliations
- Centra Health - Lynchburg Gen Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218000391 | VA | Practitioner - Physician Assistant | 7113454919 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Current |
Accepting new patients | |
| Centra Health Professional Services, LLC | Current |
Accepting new patients |
Locations
140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297
2015 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 528-2212
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 0110010511 | VA | Yes |
Addresses
Primary practice location
565 Radio Hill Rd
Marion, VA 24354-6587
Mailing address
15107 Martin Glen Ter
Midlothian, VA 23112-6372
Phone (804) 980-1882
Other providers in Marion, VA
- Breanna Coley
- Commonwealth of Virginia State Board of Health
- Patricia B. Conklin
- Connections Counseling, PLLC
- Denisha Renee Cook
- Shannon Renee Cook
- Penelope Vernon Cooper
- Covenant Obstetrics and Gynecology PC
- Jonathan Gentry Crisp
- Meredith Ashley Oldham Cullop
All providers in Marion, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.