Active NPI
Allen T Cooke, NP
- Family Nurse Practitioner
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24143
- Practice address
- 809 N Cedar St
Summerville, SC 29483-6605 - Phone
- (843) 871-9440
- Fax
- (843) 871-5932
- NPI assigned
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24143 | SC | Primary |
Addresses
Primary practice location
809 N Cedar St
Summerville, SC 29483-6605
Mailing address
PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071
Other practice location 1
2566 Ashley River Rd
Charleston, SC 29414-4605
Phone (843) 801-1643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP7217 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
809 N Cedar St
Summerville, SC 29483-6605
Phone (843) 695-6071
Hospital & facility affiliations
- Interim Healthcare
- Trident Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Past | Accepting new patients |
Locations
1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404
2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075
809 N Cedar St
Summerville, SC 29483
Phone (843) 851-9440
201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397
85 Springview Ln
Unit C
Summerville, SC 29485
Phone (843) 875-0600
Interoperability endpoints
- allen.cooke@ppcp1.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
-
- Endocrinology, Diabetes & Metabolism Physician
- Summerville, SC
- NPI 1023448487
-
- Family Medicine Physician
- Summerville, SC
- NPI 1366123739
-
- Family Medicine Physician
- Summerville, SC
- NPI 1265690382
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Nursing Care Agency
- North Charleston, SC
- NPI 1063422988
Home health agency
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1851909162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530062",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303530062",
"telephone_number": "843-695-6071",
"fax_number": "843-569-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 N CEDAR ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836605",
"telephone_number": "843-871-9440",
"fax_number": "843-871-5932"
}
],
"practiceLocations": [
{
"address_1": "2566 Ashley River Rd",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294144605",
"country_code": "US",
"telephone_number": "843-801-1643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOKE",
"first_name": "ALLEN",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "24143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP7217",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.