Justin T Cooke, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.35125 Issued in AL

Practice address

3477 Lowery Pkwy Ste 137
Fultondale, AL 35068

Phone

(205) 379-6040

Fax

(205) 379-6039

NPI assigned

Sep 17, 2007

Last updated

Jan 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Center, LLCGroup PAC ID 5294622379, 4 clinicians

Abc Family Medicine IncGroup PAC ID 0446583694, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.cooke@direct.systemedx.com

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.

• Abc Family Medicine Inc

  • Family Medicine Physician
  • Hanceville, AL
  • NPI 1508338278
  Medicare reassignment Care Compare group NPD
• Urgent Care Center, LLC

  • Internal Medicine Physician
  • Cullman, AL
  • NPI 1245274000
  Medicare reassignment Care Compare group NPD
• Olympus Direct Primary Care. P.C.

  dba Olympus Direct Primary Care

  • Family Medicine Physician
  • Fultondale, AL
  • NPI 1619696598
  NPD Authorized official
• Crossroads Medical Group, LLC

  dba Hartselle Urgent Care

  • Urgent Care Clinic/Center
  • Hartselle, AL
  • NPI 1689981102
  NPD
• Dodge City Medical Clinic, Inc.

  • Primary Care Clinic/Center
  • Hanceville, AL
  • NPI 1407976624
  NPD (past)

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1285820936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 LOWERY PKWY STE 137",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681687",
            "telephone_number": "205-379-6040",
            "fax_number": "205-379-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 LOWERY PKWY STE 137",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "35068",
            "telephone_number": "205-379-6040",
            "fax_number": "205-379-6039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1238 Taft Hwy",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Signal Mountain",
            "state": "TN",
            "postal_code": "373773294",
            "country_code": "US",
            "telephone_number": "423-886-2004",
            "fax_number": "423-886-7803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 County Road 262",
            "address_purpose": "LOCATION",
            "city": "Hanceville",
            "state": "AL",
            "postal_code": "350773415",
            "country_code": "US",
            "telephone_number": "256-781-0718",
            "fax_number": "256-417-4534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JUSTIN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "46351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.35125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Fultondale
• John Christopher Clarke, DMD
• Latosha Clayton
• Michael Cole Collier, D.M.D
• Community Urgent Care of Fultondale, Inc
• Daphne Delay Dickinson, PHARMD
• Angela P Dominique, D.P.M.
• Family Comfort Hospice LLC
• Michelle Ann Forrester, PHARMD
• Catherine Marie Foster, D.C.

• Family Medicine Physician in Fultondale, AL
• Providers in Fultondale, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.