NPIMap

Individual provider Active NPI

Jay Brandon Cook, M.D.

  • Orthopaedic Surgery Physician
  • Jesup, GA
National Provider Identifier
1790913622
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME150465 Issued in FL
Practice address
110 Professional CT
Jesup, GA 31545-0044
Phone
(912) 427-0800
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLC 143 clinicians
Optim Orthopedics LLC 101 clinicians
Tattnall Hospital Company LLC 47 clinicians

Practice addresses (Care Compare)

1390 Boone Ave Ext
Kingsland, GA 31548-6515
Phone (419) 221-3717

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

821 S Main St
Suite C
Baxley, GA 31513-0163
Phone (912) 705-8040

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Brunswick, GA, CCN 117144
  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
  • Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323
  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Appling Healthcare Hospital, Baxley, GA, CCN 110071
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

Merit-based Incentive Payment System (MIPS)

Final score
54.22 of 100Reported as group
Quality
71.46
Promoting interoperability
0
Improvement activities
40
Cost
59.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)27

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150409002210 GA Practitioner - Orthopedic Surgery 7315265071 Reassigns benefits to 3 organizations
I20210607001131 FL Practitioner - Orthopedic Surgery 7315265071 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073258GAMDOrthopaedic Surgery Physician
MD-16199HIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tattnall Hospital Company, LLC CurrentSince Jul 1, 2023 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Apr 1, 2015 Accepting new patients
Bone and Joint Institute of South Georgia, P.C. Orthopaedic Surgery CurrentSince Feb 13, 2018 Accepting new patients
Florida Clinical Practice Association Inc Orthopaedic Surgery CurrentSince Jul 26, 2021 Accepting new patients
Florida Clinical Practice Association Inc Orthopaedic Surgery CurrentSince Jul 26, 2021 Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Apr 1, 2015 Accepting new patients
Tattnall Hospital Company LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery PastSince Oct 6, 2019 Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 367-5486

3231 Glynn Ave
Brunswick, GA 31520
Phone (912) 265-9006

242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676

209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236

102 Rocky Ford Rd
Sylvania, GA 30467
Phone (912) 564-2155

1724 Old Reynolds St
#B
Waycross, GA 31501

Interoperability endpoints

  • Direct secure messaging: jay.cook.1@16403.direct.athenahealth.com
  • Direct secure messaging: jay.cook.2@16403.direct.athenahealth.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD-16199 HI
Orthopaedic Surgery Physician 207X00000X ME150465 FL Primary
Orthopaedic Surgery Physician 207X00000X 073258 GA

Addresses

NPPES NPI Registry

Primary practice location

110 Professional CT
Jesup, GA 31545-0044

Mailing address

1329 SW 16TH St
Room 2232
Gainesville, FL 32611
Phone (352) 559-5051

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
003156963BMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2021.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1790913622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SW 16TH ST",
            "address_2": "ROOM 2232",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32611",
            "telephone_number": "352-559-5051",
            "fax_number": "352-265-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL CT",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450044",
            "telephone_number": "912-427-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JAY",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD-16199",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME150465",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "073258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003156963B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.