Individual provider Active NPI

Ashly Cook, PA-C

  • Physician Assistant
  • Smithfield, NC
National Provider Identifier
1891728416
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102394 Issued in NC
Practice address
540 North St
Smithfield, NC 27577-4016
Phone
(919) 934-1094
Fax
(919) 934-9044
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102394 NC Primary

Addresses

Primary practice location

540 North St
Smithfield, NC 27577-4016

Mailing address

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000256 NC Practitioner - Physician Assistant 1456366327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

100 Kellie Dr
Smithfield, NC 27577-9444
Phone (919) 934-1094

100 Perkins Dr
Chapel Hill, NC 27514-1783
Phone (919) 942-3171

107 E McClanahan St
Oxford, NC 27565-2919
Phone (919) 692-1105

1111 Huffman Mill Rd
Burlington, NC 27215-8862
Phone (336) 584-5544

3100 Duraleigh Rd
Suite 100
Raleigh, NC 27612-8105
Phone (919) 788-8797

721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635

741 A Tilghman Dr
Dunn, NC 28334-5507
Phone (910) 891-2432

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

910 W Williams St
Apex, NC 27502-5201
Phone (919) 363-1957

Hospital & facility affiliations

  • Johnston Health Hospital, Smithfield, NC, CCN 340090
  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102394NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Jan 14, 2012 Accepting new patients
Emergeortho PA Physician Assistant CurrentSince Jan 14, 2012 Accepting new patients
Southeastern Emergency Services P C Physician Assistant Past Accepting new patients
Carolina Coast Emergency Physicians LLC Past Accepting new patients
North Carolina Urological Associates, Inc Past Accepting new patients
Henderson Emergency Physicians, PLLC Past Accepting new patients
Bestpractices of North Carolina PC Past Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

540 North St
Smithfield, NC 27577
Phone (919) 341-3603

Interoperability endpoints

  • Direct secure messaging: ashly.cook.1@847.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1891728416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLZ",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042150",
            "telephone_number": "919-220-5255",
            "fax_number": "919-313-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NORTH ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774016",
            "telephone_number": "919-934-1094",
            "fax_number": "919-934-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ASHLY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.