Active NPI
George W Cook, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lynchburg, VA
National Provider Identifier
1629176326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101056522
- Practice address
- 1905 Atherholt Rd
Lynchburg, VA 24501-1103 - Phone
- (434) 947-3925
- Fax
- (434) 947-3927
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101056522 | VA | Primary |
Addresses
Primary practice location
1905 Atherholt Rd
Lynchburg, VA 24501-1103
Mailing address
1905 Atherholt Rd
Lynchburg, VA 24501-1103
Phone (434) 947-3925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66-0444-7 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140923000994 | VA | Order and Referring Only - Pathology | 1153487475 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101056522 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Consultants of Central VA, Inc | Past | Accepting new patients |
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.
-
- Clinical Medical Laboratory
- Lynchburg, VA
- NPI 1598863821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629176326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011103",
"telephone_number": "434-947-3925",
"fax_number": "434-947-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011103",
"telephone_number": "434-947-3925",
"fax_number": "434-947-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "GEORGE",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101056522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66-0444-7",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.