Individual provider Active NPI

John Calvin Cooksey

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1063098069
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC2568 Issued in KY
Practice address
7102 Creekton Dr
Louisville, KY 40241-6421
Phone
(502) 544-4452
NPI assigned
Mar 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC2568 KY Primary

Addresses

Primary practice location

7102 Creekton Dr
Louisville, KY 40241-6421

Mailing address

7102 Creekton Dr
Louisville, KY 40241-6421
Phone (502) 544-4452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220921000413 KY Practitioner - Physician Assistant 0042695488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1006 New Moody LN
La Grange, KY 40031-9122

101 Stonecrest Rd
Shelbyville, KY 40065-8169

118 Patriot Dr
Suite 102
Bardstown, KY 40004-9094
Phone (502) 233-4474

2108 Nicholasville Rd
Lexington, KY 40503-2502
Phone (859) 260-5200

2232 Holiday Manor Ctr
Louisville, KY 40222-6431
Phone (502) 339-0096

2400 Eastpoint Pkwy
Louisville, KY 40223-4154

2601 Kentucky Ave
Suite 103
Paducah, KY 42003-3817
Phone (270) 415-7653

2800 Breckenridge LN
Louisville, KY 40220-1402

3605 Fern Valley Rd
Louisville, KY 40219-1916

3607 Fern Valley Rd
Suite 102
Louisville, KY 40219-1916
Phone (502) 459-4900

3900 Kresge Way
Louisville, KY 40207-4681

610 E Brannon Rd
Suite 200
Nicholasville, KY 40356-6046
Phone (859) 260-5555

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1111 Ring Rd
Ste 1
Elizabethtown, KY 42701

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1063098069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 CREEKTON DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416421",
            "telephone_number": "502-544-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 CREEKTON DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416421",
            "telephone_number": "502-544-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSEY",
        "first_name": "JOHN",
        "middle_name": "CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-20",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC2568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.