Individual provider Active NPI

Garry L Cook, DC

  • Chiropractor
  • Scottsboro, AL
National Provider Identifier
1306832035
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0788 Issued in AL
Practice address
1001 S Broad St
Scottsboro, AL 35768-2511
Phone
(256) 259-1707
Fax
(256) 259-3842
NPI assigned
Sep 27, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0788 AL Primary

Addresses

Primary practice location

1001 S Broad St
Scottsboro, AL 35768-2511

Mailing address

1001 S Broad St
Scottsboro, AL 35768-2511
Phone (256) 259-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000444 AL Practitioner - Chiropractic 1153405758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 S Broad St
Scottsboro, AL 35768-2511
Phone (256) 259-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0788ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Garry L Cook DC PC Chiropractor CurrentSince Sep 27, 1994 Accepting new patients
Victory Health of Scottsboro LLC Chiropractor PastSince Sep 27, 1994 Accepting new patients

Locations

1001 S Broad St
Scottsboro, AL 35768
Phone (256) 259-1707

Organizations & group practices 2

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306832035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S BROAD ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682511",
            "telephone_number": "256-259-1707",
            "fax_number": "256-259-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BROAD ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682511",
            "telephone_number": "256-259-1707",
            "fax_number": "256-259-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "GARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "0788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.