Organization Active NPI

Nanette Cook MD OB/GYN PC

  • Clinic/Center
  • Smyrna, GA
National Provider Identifier
1780985739
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
049139 Issued in GA
Legal business name
NANETTE COOK MD OB/GYN PC
Practice address
3692 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone
(770) 431-2322
Fax
(770) 431-2321
NPI assigned
Nov 8, 2010
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Dr. Nanette Cook, MDNPI 1346215837
Title
Owner
Phone
(770) 431-2322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 049139 GA Primary

Addresses

Primary practice location

3692 Highlands Pkwy SE
Smyrna, GA 30082-5184

Mailing address

3692 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone (770) 431-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101206000019 GA Part B Supplier - Clinic/Group Practice 1759578693 Receives reassigned benefits from 1 practitioner
Practice locations: Smyrna, GA

National Provider Directory

National Provider Directory

Locations

3692 Highlands Pkwy SE
Smyrna, GA 30082
Phone (678) 305-1700

3692 Highlands Pkwy SE
Bldg 2
Smyrna, GA 30082
Phone (770) 431-2322

4480 N Cooper Lake Rd SE
Ste 220
Smyrna, GA 30082
Phone (440) 431-2322

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1780985739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "770-431-2322",
            "fax_number": "770-431-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "770-431-2322",
            "fax_number": "770-431-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANETTE COOK MD OB/GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-431-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "049139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.