Individual provider Active NPI

James David Cook Jr., NP

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1154093748
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07210632 Issued in NC
Practice address
4705 University Dr BLDG 700
Durham, NC 27707-3489
Phone
(919) 237-1337
Fax
(919) 237-1625
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07210632 NC Primary

Addresses

Primary practice location

4705 University Dr BLDG 700
Durham, NC 27707-3489

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331

Other practice location 1

1814 Westchester Dr Ste 301
High Point, NC 27262-7369
Phone (336) 802-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211026002367 NC Practitioner - Nurse Practitioner 0446648349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

205 S Kings Dr
Suite 150
Charlotte, NC 28204-2661
Phone (980) 375-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07210632NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Nov 28, 2021 Accepting new patients
Wake Forest Health Network LLC CurrentSince Nov 28, 2021 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Avance Care, PA CurrentSince Feb 1, 2023 Accepting new patients

Locations

205 S Kings Dr
Ste 150
Charlotte, NC 28204
Phone (980) 375-0550

1824 E Arbors Dr
Ste 350
Charlotte, NC 28262
Phone (980) 580-0588

4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337

1814 Westchester Dr
Ste 203
High Point, NC 27262
Phone (336) 702-1355

1814 Westchester Dr
Ste 301
High Point, NC 27262
Phone (336) 802-2025

1814 Westchester Dr
Ste 302
High Point, NC 27262
Phone (336) 802-2170

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1154093748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 UNIVERSITY DR BLDG 700",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073489",
            "telephone_number": "919-237-1337",
            "fax_number": "919-237-1625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Westchester Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627369",
            "country_code": "US",
            "telephone_number": "336-802-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F07210632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.