NPIMap

Individual provider Active NPI

Amy Ferguson Cook, PA

  • Medical Physician Assistant
  • Columbia, SC
National Provider Identifier
1770066110
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3071 Issued in SC
Practice address
109 Barton Creek CT
Columbia, SC 29229-8027
Phone
(803) 256-2286
Fax
(803) 419-8430
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X 3071 SC Primary

Addresses

Primary practice location

109 Barton Creek CT
Columbia, SC 29229-8027

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

1 Richland Medical Park Dr Ste 300
Columbia, SC 29203-6831
Phone (803) 434-7910

Other identifiers 1

IdentifierTypeStateIssuer
3795PAMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aferguson84347@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126000305 SC Practitioner - Physician Assistant 8527312826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1 Richland Med PK Dr
Columbia, SC 29203-6831

2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Jan 1, 2022 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 1, 2022 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients

Locations

1333 Taylor St
Ste 6F
Columbia, SC 29201
Phone (803) 296-3273

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

109 Barton Creek Ct
Columbia, SC 29229
Phone (803) 256-2286

1 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (803) 434-7910

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Interoperability endpoints

  • Direct secure messaging: acook558635@direct.ghs.myhfn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1770066110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BARTON CREEK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298027",
            "telephone_number": "803-256-2286",
            "fax_number": "803-419-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Richland Medical Park Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036831",
            "country_code": "US",
            "telephone_number": "803-434-7910",
            "fax_number": "803-933-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "AMY",
        "middle_name": "FERGUSON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3795PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aferguson84347@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "109 Barton Creek Ct",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292298027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.