Olympus Direct Primary Care. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLYMPUS DIRECT PRIMARY CARE. P.C.

Doing business as

Olympus Direct Primary Care

Practice address

1311 Decatur Hwy Ste C
Fultondale, AL 35068-1737

Phone

(205) 927-5185

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Thomas Cooke, MDNPI 1285820936

Title

Owner/President

Phone

(484) 788-4788

Specialties & licenses 1

Addresses

Other names 1

• Olympus Direct Primary Care Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Justin T Cooke, MD

  • Family Medicine Physician
  • Fultondale, AL
  • NPI 1285820936
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1619696598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 DECATUR HWY STE C",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681737",
            "telephone_number": "205-927-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 DECATUR HWY STE C",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681737",
            "telephone_number": "205-927-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS DIRECT PRIMARY CARE. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "484-788-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "olympusdpc.com",
            "affiliation": "N",
            "endpointDescription": "Website Homepage",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "1311 Decatur Hwy Ste C",
            "city": "Fultondale",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350681737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Olympus Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Fultondale, AL
• Providers in Fultondale, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.