Individual provider Active NPI

Jessica Hope Cook, PA-C

  • Medical Physician Assistant
  • Watkinsville, GA
National Provider Identifier
1063426534
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
004032 Issued in GA
Practice address
1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7210
Phone
(706) 543-5858
Fax
(706) 543-2050
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 004032 GA Primary

Addresses

Primary practice location

1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7210

Mailing address

1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7210
Phone (706) 543-5858

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
I20090708000084 GA Practitioner - Physician Assistant 4880745637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Skin Cancer and Aestheitic Dermatology, LLCGroup PAC ID 0244328649, 25 clinicians

Practice addresses (Care Compare)

1046 Salem Walk Dr
Greensboro, GA 30642-3811
Phone (706) 543-5858

1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7210

1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7211
Phone 70654358583207

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.62 of 100Reported as group
Quality
78.23
Promoting interoperability
100
Improvement activities
40
Cost
73.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004032GAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hcook@georgiaderm.emadirect.md

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1063426534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 RESURGENCE DR",
            "address_2": "SUITE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777210",
            "telephone_number": "706-543-5858",
            "fax_number": "706-543-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 RESURGENCE DR",
            "address_2": "SUITE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777210",
            "telephone_number": "706-543-5858",
            "fax_number": "706-543-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JESSICA",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.