Shatanya Monique Cook, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN245927 Issued in GA

Practice address

1233 Highway 54 W Ste 205
Fayetteville, GA 30214-4542

Phone

(404) 351-7654

Fax

(404) 609-7605

NPI assigned

Jun 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: shatanya.cook@krogerhealth.eclinicaldirectplus.com

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1376167163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092530",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 HIGHWAY 54 W STE 205",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144542",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3579 Highway 138 SE",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302814142",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Poplar Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658302",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Peachtree St NW Ste 750",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303092530",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SHATANYA",
        "middle_name": "MONIQUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN245927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucker Contorno
• Anne Marie Cook, LPC
• Elizabeth Ann Cook, PT
• George Cook Jr.
• Lillian Martha Cook, DPT
• William T Cook, M.D.
• Derrick Cooks, RBT
• Candice P. Cooper, PHD
• Darius Cooper, RBT
• Ford H Cooper, DPT

• Family Nurse Practitioner in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.

Verify at the official NPI Registry.