Jean Williams Cobb, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005968 Issued in NC

Practice address

711 Roanoke Ave
Elizabeth City, NC 27909-5643

Phone

(252) 338-4400

Fax

(252) 337-7912

NPI assigned

Dec 3, 2012

Last updated

Dec 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albemarle Regional Health ServicesGroup PAC ID 1759354350, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albemarle Regional Health Services

  • State or Local Public Health Clinic/Center
  • Elizabeth City, NC
  • NPI 1659468130
  Medicare reassignment Care Compare group NPD
• Albemarle Regional Health Services

  dba Perquimans County Health Department

  • State or Local Public Health Clinic/Center
  • Hertford, NC
  • NPI 1487738951
  NPD

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1902141989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ASKEWVILLE RD",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279837956",
            "telephone_number": "252-209-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ROANOKE AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095643",
            "telephone_number": "252-338-4400",
            "fax_number": "252-337-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JEAN",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Rehabilitation Inc
• Coastal Rehabilitation Inc
• Coastal Sleep Center, LLC
• Coastal Urology Associates, P.a.
• Coastal Women's Clinic, LTD.
• Amy Coker
• Anna Coker, MA, LPC, LCAS
• Huyla G Coker, PHARMD
• Juanita R Coleman, MD
• Tonya Collier

• Family Nurse Practitioner in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.