Nightfall Medical LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NIGHTFALL MEDICAL LLC

Practice address

322 N 3Rd Ave
Chatsworth, GA 30705-2538

Phone

(706) 247-8100

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Judith Cook, NPNPI 1982245437

Title

Owner

Phone

(706) 264-3451

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Ted Cook, MD MPH FAAFP

  • Family Medicine Physician
  • Chatsworth, GA
  • NPI 1255327052
  Medicare reassignment NPD
• Judith Ann Cook, APRN

  • Acute Care Nurse Practitioner
  • Chatsworth, GA
  • NPI 1982245437
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1285386193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N 3RD AVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052538",
            "telephone_number": "706-247-8100",
            "fax_number": "833-553-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N 3RD AVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052538",
            "telephone_number": "706-247-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTFALL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-264-3451",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murray Woods of Journey LLC
• Craig Andrew Murray, M.D.
• Taylor Murray, DO
• Myeyedr Optometry of Georgia, LLC
• Myeyedr Optometry of Georgia, LLC
• Laura Huber Nix, ARPN, NP-C
• Kimberly Noland, DMD
• NW Georgia Eye Care
• Burgandy Ann Payne
• Alison Peden, NP

• Urgent Care Clinic/Center in Chatsworth, GA
• Providers in Chatsworth, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.