Scott Robert Cooklish, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103508 Issued in NC

Practice address

210 Beatty Dr Ste 100
Belmont, NC 28012-2716

Phone

(704) 266-3100

Fax

(704) 867-6401

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Orthopaedic and Sports Medicine Center PAGroup PAC ID 7810983020, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: scooklish@cosmc1234.srs-direct.com
• Direct secure messaging: scottr.cooklishpa.p1@direct.cosmc.nextgenshare.com

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.

• Carolina Orthopaedic & Sports Medicine Center PA

  • Orthopaedic Surgery Physician
  • Gastonia, NC
  • NPI 1255380143
  Medicare reassignment Care Compare group NPD
• Carolina Orthopaedic & Sports Medicine Center PA

  • Durable Medical Equipment & Medical Supplies
  • Belmont, NC
  • NPI 1306644521
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gaston Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Gastonia, NC
  • NPI 1013918960
  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1669456992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542151",
            "telephone_number": "704-865-0077",
            "fax_number": "704-867-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEATTY DR STE 100",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122716",
            "telephone_number": "704-266-3100",
            "fax_number": "704-867-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Court Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542151",
            "country_code": "US",
            "telephone_number": "704-865-0077",
            "fax_number": "704-867-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKLISH",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Digestive Health PLLC
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• Gavin Charles Cook
• Gregory William Cook, D.M.D
• Samuel Bernell Cooke
• Douglas Coran, MD
• Elliott Bradley Courter, D.O.
• Andrew Emerson Craig, FNP
• Kristin Louise Cramer, PHARM.D.
• Crawford'S Caring Hands, Inc.

• Physician Assistant in Belmont, NC
• Providers in Belmont, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.
• 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.