Individual provider Active NPI

Frank Jefferson Cook Jr., MD

  • Pulmonary Disease Physician
  • Atlanta, GA
National Provider Identifier
1285744722
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
018125 Issued in GA
Practice address
4535 Winters Chapel Rd
Atlanta, GA 30360
Phone
(678) 580-1862
Fax
(678) 909-0659
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 018125 GA Primary

Addresses

Primary practice location

4535 Winters Chapel Rd
Atlanta, GA 30360

Mailing address

4535 Winters Chapel Rd
Atlanta, GA 30360
Phone (678) 580-1862

Other identifiers 1

IdentifierTypeStateIssuer
000197425AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000636 GA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0547276065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Howard University College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Atlanta Diagnostics LLCGroup PAC ID 5193953719, 4 clinicians

Practice addresses (Care Compare)

4535 Winters Chapel Rd
Suite B
Atlanta, GA 30360-2705
Phone (770) 285-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018125GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Atlanta Diagnostics LLC CurrentSince Apr 1, 2015 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2010 Accepting new patients
Hospital Authority of Wayne County Georgia CurrentSince Feb 1, 2008 Accepting new patients
Hospital Authority of Wayne County Georgia CurrentSince Feb 1, 2008 Accepting new patients
Morehouse Healthcare, Inc. PastSince Jul 1, 2012 Accepting new patients
Atlanta Multi Specialty Group Past Accepting new patients
Hospital Authority of Wayne County Georgia Past Accepting new patients
Soliant Health Past Accepting new patients

Locations

3161 Howell Mill Rd NW
Ste 430
Atlanta, GA 30327
Phone (770) 285-7246

4535 Winters Chapel Rd
Doraville, GA 30360
Phone (678) 580-1862

4535 Winters Chapel Rd
#B
Doraville, GA 30360
Phone (678) 580-1862

865 N 1St St
Jesup, GA 31545
Phone (912) 427-6811

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1285744722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30360",
            "telephone_number": "678-580-1862",
            "fax_number": "678-909-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30360",
            "telephone_number": "678-580-1862",
            "fax_number": "678-909-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "FRANK",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "018125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000197425A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.