Ebony Joy Cooke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-16130 Issued in NC

Practice address

10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670

Phone

(704) 774-6569

Fax

(855) 308-2340

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lamond Family Medicine PLLC 49 clinicians

Urgent Care of Oconee, LLC 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Lamond Family Medicine, PLLC

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1629037270

  NC

  Medicare reassignment Care Compare group NPD
• Urgent Care of Oconee, LLC

  • Multi-Specialty Clinic/Center
  • Watkinsville, GA
  • NPI 1760839500

  GA

  Medicare reassignment Care Compare group NPD
• Urgent Care of Oconee, LLC

  • Urgent Care Clinic/Center
  • Athens, GA
  • NPI 1093468951
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1851062012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 METROMONT PKWY STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697670",
            "telephone_number": "704-774-6569",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "EBONY",
        "middle_name": "JOY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11485",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyreik Cook
• Zelina Christina Cook, PSY.D.
• Cooke and Mvula, PLLC
• Amy Cooke, PHARMD
• Charles-Thomas Cooke, DDS, MS
• Robin Lane Cooke, BS,PHARMD,CGP
• Sarah Cooke, PHD
• Amarrah Nicole Cooks
• Cooley Enterprises, Inc.
• Adam Daniel Cooley, D.O.

• All providers in Charlotte, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.