Active NPI
Michael Heath S. Cook, D.O.
- Family Medicine Physician
- Jenkins, KY
National Provider Identifier
1144403288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03226
- Practice address
- 853 Lakeside Dr
Jenkins, KY 41537-9163 - Phone
- (606) 832-0023
- NPI assigned
- Dec 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03226 | KY | Primary |
Addresses
Primary practice location
853 Lakeside Dr
Jenkins, KY 41537-9163
Mailing address
P.O. Box 630
Jenkins, KY 41537
Phone (606) 832-0023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100036830 | Medicaid | KY |
Other names 1
- Heath S Cook
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080225000478 | KY | Practitioner - Family Practice | 5193809531 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
853 Lakeside Dr
Jenkins, KY 41537-9163
Phone (606) 832-0023
Hospital & facility affiliations
- Whitesburg Arh Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins Family Clinic, LLC | Current | Accepting new patients | |
| Jenkins Family Clinic, LLC | Family Medicine | Current | Accepting new patients |
Interoperability endpoints
- michael.cook.1@16152.direct.athenahealth.com
- https://api.platform.athenahealth.com/16152/brand/1/csg/1/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Red Fox Clinic | Rural health clinic | W-2 Managing Employee | May 16, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Primary Care Clinic/Center
- Red Fox, KY
- NPI 1053504357
W-2 Managing Employee
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.
-
- Rural Health Clinic/Center
- Jenkins, KY
- NPI 1649126749
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whitesburg, KY
- NPI 1194723726
Hospital
-
- Multi-Specialty Clinic/Center
- Whitesburg, KY
- NPI 1821204199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1144403288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 630",
"city": "JENKINS",
"state": "KY",
"postal_code": "41537",
"telephone_number": "606-832-0023",
"fax_number": "606-832-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 LAKESIDE DR",
"city": "JENKINS",
"state": "KY",
"postal_code": "415379163",
"telephone_number": "606-832-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MICHAEL",
"middle_name": "HEATH S.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-12",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100036830",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATH",
"last_name": "COOK",
"middle_name": "S",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jenkins, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.