NPIMap

Individual provider Active NPI

Robert Ted Cook, MD MPH FAAFP

  • Family Medicine Physician
  • Chatsworth, GA
National Provider Identifier
1255327052
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
GA026087 Issued in GA
Practice address
100 Hospital Dr
Chatsworth, GA 30705-2058
Phone
(706) 695-4546
Fax
(706) 695-0231
NPI assigned
Sep 27, 2005
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GA026087 GA Primary

Addresses

Primary practice location

100 Hospital Dr
Chatsworth, GA 30705-2058

Mailing address

PO Box 430
Chatsworth, GA 30705-0430
Phone (706) 695-4546

Other identifiers 1

IdentifierTypeStateIssuer
00289913AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050801000922 GA Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 5193753028 Reassigns benefits to 1 organization
I20220621002578 GA Practitioner - Geriatric MedicinePractitioner - Family Practice 5193753028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Loma Linda University School of Medicine, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Hospital Dr
Chatsworth, GA 30705-2058
Phone (706) 695-4546

322 N 3Rd Ave
Chatsworth, GA 30705-2538
Phone (706) 247-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
68.23
Promoting interoperability
100
Improvement activities
40
Cost
74.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA026087GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nightfall Medical LLC CurrentSince Apr 19, 2022 Accepting new patients
Cook Primary Care LLC Family Medicine CurrentSince Sep 21, 2025 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Georgia Emergency Care, PC Past Accepting new patients
Murray Woods of Journey LLC Past Accepting new patients
Gachatsworth SNF LLC Past Accepting new patients
Murray Medical Center, Inc. Past Accepting new patients

Locations

100 Hospital Dr
Chatsworth, GA 30705
Phone (706) 695-4546

322 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 247-8100

Interoperability endpoints

  • Direct secure messaging: rcook661705@adventhealth.direct-ci.com
  • Direct secure messaging: robert.cook.1@25588.direct.athenahealth.com

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.

FacilityTypeRoleSince
Murray Woods of Journey LLCChatsworth, GA, CCN 115280 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1255327052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307050430",
            "telephone_number": "706-695-4546",
            "fax_number": "706-695-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052058",
            "telephone_number": "706-695-4546",
            "fax_number": "706-695-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ROBERT",
        "middle_name": "TED",
        "name_prefix": "Mr.",
        "credential": "MD MPH FAAFP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA026087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00289913A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

Verify at the official NPI Registry.