Clarke Oconee Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042549 Issued in GA

Legal business name

CLARKE OCONEE FAMILY MEDICINE, LLC

Practice address

700 Sunset Dr Ste 400a
Athens, GA 30606-2293

Phone

(706) 353-7747

Fax

(706) 353-7756

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Mitchell Cook, D.O.NPI 1467443713

Title

Owner/Manager

Phone

(706) 353-7747

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan M Cook, DO

  • Family Medicine Physician
  • Athens, GA
  • NPI 1467443713
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1801803820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7336",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047336",
            "telephone_number": "706-353-7747",
            "fax_number": "706-353-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 400A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062293",
            "telephone_number": "706-353-7747",
            "fax_number": "706-353-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE OCONEE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "706-353-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PHYSICIAN",
            "identifier": "1467443713",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169764070A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarke County Department of Health
• Clarke County Department of Health
• Clarke County Endoscopy Center LLC
• Clarke County School System
• Clarke Middle Health Center
• Al Clarke, PHD
• Classic City Anesthesia Associates
• Classic City Cardiology
• Classic City Connect Medical Transport LLC
• Classic City Counseling & Consultation LLC

• Family Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.