Robert T. Cook MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GA026087 Issued in GA

Legal business name

ROBERT T. COOK MD PC

Practice address

100 Hospital Drive
Chatsworth, GA 30705-0430

Phone

(706) 695-4546

Fax

(706) 695-0231

NPI assigned

Mar 4, 2011

Organization subpart

No

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

Authorized official

Name

Robert Ted Cook, MD

Title

President

Phone

(706) 695-4546

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1487952123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 430",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307050430",
            "telephone_number": "706-695-4546",
            "fax_number": "706-695-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DRIVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307050430",
            "telephone_number": "706-695-4546",
            "fax_number": "706-695-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. COOK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-695-4546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA026087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00289913-A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Chatsworth, GA
• Providers in Chatsworth, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.