NPIMap

Organization Active NPI

Timothy a Cook Services,LLC

  • Nurse Practitioner
  • Abbeville, SC
National Provider Identifier
1467753756
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN134360 Issued in GA
Legal business name
TIMOTHY A COOK SERVICES,LLC
Practice address
326 Dungannon Dr
Abbeville, SC 29620-4507
Phone
(706) 650-1056
Fax
(706) 650-1056
NPI assigned
Nov 3, 2010
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Timothy A Cook, CRNANPI 1275513533
Title
President
Phone
(706) 650-1056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN134360 GA Primary

Addresses

Primary practice location

326 Dungannon Dr
Abbeville, SC 29620-4507

Mailing address

326 Dungannon Dr
Abbeville, SC 29620-4507
Phone (706) 650-1056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1467753756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 DUNGANNON DR",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296204507",
            "telephone_number": "706-650-1056",
            "fax_number": "706-650-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 DUNGANNON DR",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296204507",
            "telephone_number": "706-650-1056",
            "fax_number": "706-650-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A COOK SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-650-1056",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN134360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.