NPIMap

Individual provider Active NPI

Buffy J Cook, MD

  • Family Medicine Physician
  • Brighton, TN
National Provider Identifier
1063406114
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD31815 Issued in TN
Practice address
1880 Old Hwy 51 Suite C
Brighton, TN 38011-7043
Phone
(901) 837-7979
Fax
(901) 837-7999
NPI assigned
Sep 6, 2005
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD31815 TN Primary

Addresses

Primary practice location

1880 Old Hwy 51 Suite C
Brighton, TN 38011-7043

Mailing address

PO Box 1000
Dept 978
Memphis, TN 38148-0001
Phone (901) 837-7979

Other identifiers 1

IdentifierTypeStateIssuer
1516084MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000655 TN Practitioner - Family Practice 9436156932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

367 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 661-2211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD31815TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates CurrentSince Mar 1, 2022 Accepting new patients
WT Medical Associates CurrentSince Mar 1, 2022 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Decatur County General Hospital Past Accepting new patients
Lift Therapy, Inc. Past Accepting new patients
Emergency Coverage, LLC Family Medicine Past Accepting new patients
Emergency Medicine Fellowship, PLLC Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

1270 Union University Dr
Ste A
Jackson, TN 38305
Phone (731) 664-0103

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

Interoperability endpoints

  • Direct secure messaging: bcook23433@directepic.wth.org

Organizations & group practices 8

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 7

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1063406114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 978",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-837-7979",
            "fax_number": "901-837-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OLD HWY 51 SUITE C",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380117043",
            "telephone_number": "901-837-7979",
            "fax_number": "901-837-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "BUFFY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD31815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516084",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, TN

Sources for this page

Verify at the official NPI Registry.