Active NPI
Michelle E Cooke, M.D,
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1568759264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 005228
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Interoperability endpoints
- michelle.cooke.p183@direct.tenet.nextgenshare.com
- michelle.cooke.p52@direct.tenet.nextgenshare.com
- 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.
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.