Active NPI
Karen Paula Cooksey, APRN
- Family Nurse Practitioner
- Roswell, GA
National Provider Identifier
1336108448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN084993
- Practice address
- 11685 Alpharetta Hwy Ste 270
Roswell, GA 30076-4982 - Phone
- (770) 410-4610
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN084993 | GA | Primary |
Addresses
Primary practice location
11685 Alpharetta Hwy Ste 270
Roswell, GA 30076-4982
Mailing address
11685 Alpharetta Hwy Ste 270
Roswell, GA 30076-4982
Phone (770) 619-5100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | IMSR@Northside.gwaydirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN084993 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care Professional Services,LLC | Past | Accepting new patients |
Interoperability endpoints
- imsr@northside.gwaydirect.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1336108448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11685 ALPHARETTA HWY STE 270",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764982",
"telephone_number": "770-619-5100",
"fax_number": "404-250-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11685 ALPHARETTA HWY STE 270",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764982",
"telephone_number": "770-410-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKSEY",
"first_name": "KAREN",
"middle_name": "PAULA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN084993",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "IMSR@Northside.gwaydirect.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "11685 Alpharetta Hwy Ste 270",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300764982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.