Active NPI
Haley Cook, APRN, FNP
- Family Medicine Physician
- Jasper, GA
National Provider Identifier
1366940876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN175358
- Practice address
- 175 Samaritan Dr
Jasper, GA 30143-1964 - Phone
- (706) 253-4673
- NPI assigned
- Jan 30, 2018
- Last updated
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine Physician | 207Q00000X | RN175358 | GA | Primary |
Addresses
Primary practice location
175 Samaritan Dr
Jasper, GA 30143-1964
Mailing address
2256 Brick Mill Rd
Canton, GA 30115-9125
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200807000579 | GA | Practitioner - Nurse Practitioner | 8527483577 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN175358 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1366940876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2256 BRICK MILL RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301159125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 SAMARITAN DR",
"city": "JASPER",
"state": "GA",
"postal_code": "301431964",
"telephone_number": "706-253-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "HALEY",
"credential": "APRN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN175358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, GA
- Kevin Michael Collins, PT, DPT
- Complete Health Diagnostics, Inc.
- Comprehensive Health Care of North Georgia, P.C.
- Connect Hearing, Inc
- James Wesley Conner, CRNA
- Lynn Cooper, PH.D.
- Leslie G Cornelison, RPH
- Kristen Elizabeth Cornelius, MSN, AG-ACNP, CV-BC
- Wanda Denise Correia, F.N.P.
- Coster Care (Ball Ground Family Practice,P.C.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.