Individual provider Active NPI

Nanette Nicole Cook, MD

  • Obstetrics & Gynecology Physician
  • Smyrna, GA
National Provider Identifier
1346215837
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
049139 Issued in GA
Practice address
3692 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone
(770) 431-2322
Fax
(770) 431-2321
NPI assigned
Feb 20, 2006
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 049139 GA Primary

Addresses

Primary practice location

3692 Highlands Pkwy SE
Smyrna, GA 30082-5184

Mailing address

3692 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone (770) 431-2322

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
I20040115000945 GA Practitioner - Obstetrics/Gynecology 4587565254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3692 Highlands Pkwy SE
Smyrna, GA 30082-5184

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nanette Cook MD OB/GYN PC CurrentSince Nov 1, 2010 Accepting new patients
Dekalb Women's Specialists 2 LLC Obstetrics & Gynecology Past Accepting new patients
Wellstar Health System, Inc. Past Accepting new patients

Locations

3692 Highlands Pkwy SE
Smyrna, GA 30082
Phone (678) 305-1700

3692 Highlands Pkwy SE
Bldg 2
Smyrna, GA 30082
Phone (770) 431-2322

4480 N Cooper Lake Rd SE
Ste 220
Smyrna, GA 30082
Phone (440) 431-2322

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHAFBA/Endpoint/JHAFBA

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1346215837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "770-431-2322",
            "fax_number": "770-431-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "770-431-2322",
            "fax_number": "770-431-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "NANETTE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "049139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.