Roberta Spencer Cook, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

96-01582 Issued in NC

Practice address

108 Park Ave
Banner Elk, NC 28604-6604

Phone

(828) 898-6258

Fax

(828) 898-6259

NPI assigned

May 4, 2011

Last updated

May 4, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Roberta Cook

  • Urgent Care Clinic/Center
  • Banner Elk, NC
  • NPI 1104110279
  NPD (past) Authorized official

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1902198351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286040278",
            "telephone_number": "828-898-6258",
            "fax_number": "828-898-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PARK AVE",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286046604",
            "telephone_number": "828-898-6258",
            "fax_number": "828-898-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ROBERTA",
        "middle_name": "SPENCER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "96-01582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Carson, MS, LAT, ATC, CPT
• Charles a Cannon Jr Memorial Hospital, Inc. (Elk River Center for Primary Care)
• Christine Halterman PLLC
• Christine Halterman PLLC
• Consolidated Resources Health Care Fund I, L.P. (Life Care Center of Banner Elk)
• Matthew Lee Cooper
• Arianne Marie Davis, LAT, ATC
• Taelor McKenzie Deike, FNP
• Thomas Philmore Dellinger IV
• Alfred Douglas Earwood, MD

• General Practice Physician in Banner Elk, NC
• Providers in Banner Elk, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.