Individual provider Active NPI

Sonya Maria Cook, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1154384378
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2813 Issued in SC
Practice address
2739 Laurel St
Columbia, SC 29204-2028
Phone
(803) 779-4800
Fax
(803) 256-0397
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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 2813 SC Primary

Addresses

Primary practice location

2739 Laurel St
Columbia, SC 29204-2028

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

11 Atrium Ridge Ct
Columbia, SC 29223-6438
Phone (803) 699-9992

Other practice location 2

11 Atrium Ridge Ct
Columbia, SC 29223-6438
Phone (803) 699-9992

Other practice location 3

4500 Stuart St
Columbia, SC 29207-5700
Phone (803) 751-7754

Other practice location 4

4500 Stuart St
Columbia, SC 29207-5700
Phone (803) 751-7754

Other identifiers 1

IdentifierTypeStateIssuer
NP7438MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060601000248 SC Practitioner - Nurse Practitioner 4284645458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16123SCMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Oct 22, 2017 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 22, 2017 Accepting new patients

Locations

11 Atrium Ridge Ct
Columbia, SC 29223
Phone (803) 205-0406

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

2739 Laurel St
Ste 1A
Columbia, SC 29204
Phone (803) 799-4800

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1154384378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042028",
            "telephone_number": "803-779-4800",
            "fax_number": "803-256-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Atrium Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292236438",
            "country_code": "US",
            "telephone_number": "803-699-9992",
            "fax_number": "803-865-7429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Atrium Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292236438",
            "country_code": "US",
            "telephone_number": "803-699-9992",
            "fax_number": "803-865-7429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Stuart St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292075700",
            "country_code": "US",
            "telephone_number": "803-751-7754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Stuart St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292075700",
            "country_code": "US",
            "telephone_number": "803-751-7754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SONYA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7438",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.