Individual provider Active NPI

Michelle E Cooke, M.D,

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1568759264
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
005228 Issued in GA
Practice address
3886 Princeton Lakes Way SW Ste 120a
Atlanta, GA 30331
Phone
(404) 530-3070
Fax
(404) 530-3080
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 005228 GA Primary

Addresses

Primary practice location

3886 Princeton Lakes Way SW Ste 120a
Atlanta, GA 30331

Mailing address

3886 Princeton Lakes Way SW Ste 120a
Atlanta, GA 30331-5511
Phone (404) 530-3070

Other practice location 1

1000 Corporate Center Dr
Suite 200
Morrow, GA 30260-4180
Phone (770) 968-6464

Other practice location 2

1000 Corporate Center Dr
Suite 200
Morrow, GA 30260-4180
Phone (770) 968-6464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcooke123267@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Cardiovascular Medicine, LLC PastSince Oct 20, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.cooke.p183@direct.tenet.nextgenshare.com
  • Direct secure messaging: michelle.cooke.p52@direct.tenet.nextgenshare.com
  • Direct secure messaging: michelle.cooke.1@24920.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1568759264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 PRINCETON LAKES WAY SW STE 120A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315511",
            "telephone_number": "404-530-3070",
            "fax_number": "404-530-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 PRINCETON LAKES WAY SW STE 120A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-530-3070",
            "fax_number": "404-530-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Corporate Center Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "GA",
            "postal_code": "302604180",
            "country_code": "US",
            "telephone_number": "770-968-6464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Corporate Center Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "GA",
            "postal_code": "302604180",
            "country_code": "US",
            "telephone_number": "770-968-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "005228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcooke123267@directwellstar.org",
            "affiliation": "N",
            "address_1": "3886 Princeton Lakes Way SW Ste 120A",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303315511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.