Individual provider Active NPI

Rita Drake Cook, APRN

  • Women's Health Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1346679537
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN180535 Issued in GA
Practice address
3328 Bemiss Rd
Valdosta, GA 31605-7014
Phone
(229) 469-6137
NPI assigned
Nov 7, 2013
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN180535 GA Primary

Addresses

Primary practice location

3328 Bemiss Rd
Valdosta, GA 31605-7014

Mailing address

4171 Ginger TRL
Valdosta, GA 31602-7616
Phone (912) 704-5727

Other names 1

  • Rita Drake Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140107000631 GA Practitioner - Nurse Practitioner 0345478814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

3312 N Oak St
Suite Fandg
Valdosta, GA 31605-1065
Phone (229) 433-8526

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN180535GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Health & Wellness Clinic Inc CurrentSince Mar 22, 2020 Accepting new patients
Care Medical Center LLC CurrentSince Sep 29, 2020 Accepting new patients
Sutherland Physical Therapy, Inc. CurrentSince Mar 22, 2020 Accepting new patients
Care Medical Center LLC CurrentSince Sep 29, 2020 Accepting new patients
SGMC Physician Network Inc CurrentSince Nov 1, 2022 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients

Locations

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

3312 N Oak St
Ste Fg
Valdosta, GA 31605
Phone (229) 433-8526

3328 Bemiss Rd
Valdosta, GA 31605
Phone (229) 244-1201

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

Interoperability endpoints

  • Direct secure messaging: rcook68994@sgmc.gadirect.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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 2

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1346679537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 GINGER TRL",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316027616",
            "telephone_number": "912-704-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057014",
            "telephone_number": "229-469-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "RITA",
        "middle_name": "DRAKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN180535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "DRAKE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.