Individual provider Active NPI

Robert Adam Cook, M.D.

  • Family Medicine Physician
  • Weaverville, NC
National Provider Identifier
1629075445
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0000-25899 Issued in NC
Practice address
63 Monticello Rd
Weaverville, NC 28787-9441
Phone
(828) 645-3066
Fax
(828) 658-1445
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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 0000-25899 NC Primary

Addresses

Primary practice location

63 Monticello Rd
Weaverville, NC 28787-9441

Mailing address

PO Box 950
Weaverville, NC 28787-0950
Phone (828) 645-3066

Other identifiers 3

IdentifierTypeStateIssuer
79-24039MedicaidNC
01-00948OtherNCUNITED HEALTH CARE
24039OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000544 NC Practitioner - Family Practice 7113977968

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000-25899NCMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1629075445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287870950",
            "telephone_number": "828-645-3066",
            "fax_number": "828-658-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MONTICELLO RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879441",
            "telephone_number": "828-645-3066",
            "fax_number": "828-658-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ROBERT",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0000-25899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79-24039",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "01-00948",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24039",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

Verify at the official NPI Registry.