Individual provider Active NPI

Anna M Cook, PMHNP, CNS, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1063721314
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15203 Issued in TN
Practice address
65 Murray Guard Dr
Jackson, TN 38305-3628
Phone
(731) 363-5584
NPI assigned
Oct 5, 2010
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15203 TN Primary
Adult Health Clinical Nurse Specialist 364SA2200X 15203 TN

Addresses

Primary practice location

65 Murray Guard Dr
Jackson, TN 38305-3628

Mailing address

312 Greenhill Dr
Jackson, TN 38305-5716
Phone (731) 300-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110106000872 TN Practitioner - Nurse Practitioner 2163611104 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians
Imind Geriatrics and Behavioral Health LLCGroup PAC ID 2163800368, 2 clinicians
Imind Mental Health and Wellness LLCGroup PAC ID 8426307364, 7 clinicians

Practice addresses (Care Compare)

1225 E Weisgarber Rd
Suite 190
Knoxville, TN 37909-2696
Phone (423) 259-5002

38 Garland Dr
Jackson, TN 38305-3602
Phone (731) 300-0810

65 Murray Guard Dr
Jackson, TN 38305-3628
Phone (731) 300-0810

Merit-based Incentive Payment System (MIPS)

Final score
22.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Apr 15, 2017 Accepting new patients
Imind Mental Health and Wellness LLC CurrentSince Jun 16, 2018 Accepting new patients
Ultacare Medical PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Imind Geriatrics and Behavioral Health LLC Psychiatric/Mental Health CurrentSince Mar 31, 2022 Accepting new patients
Support Solutions of the Mid-South CurrentSince Sep 4, 2016 Accepting new patients
Professional Health Services of Jackson CurrentSince Jul 8, 2013 Accepting new patients
Legacy Medical Clinic With Mental Health, LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1004 Holiday Ln
Fulton, KY 42041
Phone (270) 472-1971

220 Westwood St
Glasgow, KY 42141
Phone (270) 407-5150

114 E McMurtry Ave
Hartford, KY 42347
Phone (270) 298-7437

409 Park Ave
Adamsville, TN 38310
Phone (423) 308-1845

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

412 Juanita Dr
Henderson, TN 38340
Phone (731) 989-7598

233 Oil Well Rd
Ste E
Jackson, TN 38305
Phone (731) 660-8467

38 Garland Dr
Jackson, TN 38305
Phone (731) 664-0855

65 Murray Guard Dr
Jackson, TN 38305
Phone (731) 363-5584

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

458 Hannings Ln
Martin, TN 38237
Phone (731) 558-2830

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

200 S Parkway W
Memphis, TN 38109
Phone (901) 942-7456

5909 Shelby Oaks Dr
Ste 100
Memphis, TN 38134
Phone (901) 383-9193

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1063721314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GREENHILL DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055716",
            "telephone_number": "731-300-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053628",
            "telephone_number": "731-363-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "PMHNP, CNS, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "15203",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TN",
            "license": "15203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.