Active NPI
Gregory Gerard Cook, D.P.M.
- Foot Surgery Podiatrist
- Sun City Center, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO0002468
- Practice address
- 4040 Upper Creek Dr Ste 106
Sun City Center, FL 33573-6844 - Phone
- (813) 645-1993
- Fax
- (727) 824-5132
- NPI assigned
- Oct 15, 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | PO0002468 | FL | Primary |
Addresses
Primary practice location
4040 Upper Creek Dr Ste 106
Sun City Center, FL 33573-6844
Mailing address
4040 Upper Creek Dr Ste 106
Sun City Center, FL 33573-6844
Phone (727) 824-5100
Other practice location 1
7926 W Hillsborough Ave Ste G
Tampa, FL 33615-4600
Phone (813) 645-1993
Other practice location 2
318 Eighth Avenue North
St. Petersburg, FL 33701
Phone (727) 824-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0002468 | FL | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit Feet for Life, Inc. | Foot Surgery | Current | Accepting new patients |
Locations
4040 Upper Creek Dr
Ste 106
Sun City Ctr, FL 33573
Phone (727) 824-5100
7926 W Hillsborough Ave
Ste G
Tampa, FL 33615
Phone (813) 886-9180
7926 W Hillsborough Ave
Twn North Cntry, FL 33615
Phone (813) 822-3573
Interoperability endpoints
- gregory.cook.1@13000.direct.athenahealth.com
- https://api.platform.athenahealth.com/13000/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1174711204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 UPPER CREEK DR STE 106",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736844",
"telephone_number": "727-824-5100",
"fax_number": "727-824-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 UPPER CREEK DR STE 106",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736844",
"telephone_number": "813-645-1993",
"fax_number": "727-824-5132"
}
],
"practiceLocations": [
{
"address_1": "7926 W Hillsborough Ave Ste G",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336154600",
"country_code": "US",
"telephone_number": "813-645-1993",
"fax_number": "727-824-5132",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "318 Eighth Avenue North",
"address_purpose": "LOCATION",
"city": "St. Petersburg",
"state": "FL",
"postal_code": "33701",
"country_code": "US",
"telephone_number": "727-824-5100",
"fax_number": "727-824-5132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "GREGORY",
"middle_name": "GERARD",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO0002468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
- Lori Chanelle Chase, PHYSICAL THERAPIST
- Kadambari Kishor Chavan, PT
- Patricia Ciccone, MS, OTR/L
- Cynthia E Coffey, LPN
- Compassus BSMH St. Petersburg HHA I, LLC
- Cora Health Services Inc
- Zaida Liz Coronado, DPT
- Jessica Correa, OTD, OTR/L
- Jonessa Cortes, MOT, OTR/L
- Creative Concepts in Occupational Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.