John R Cook, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

11685 Issued in SC

Practice address

2110 Woodside Executive CT
Aiken, SC 29803-3809

Phone

(803) 644-8900

Fax

(803) 644-8995

NPI assigned

Jun 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1962406900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 WOODSIDE EXECUTIVE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033809",
            "telephone_number": "803-644-8900",
            "fax_number": "803-644-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 WOODSIDE EXECUTIVE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033809",
            "telephone_number": "803-644-8900",
            "fax_number": "803-644-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "11685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR/MCCORMICK OFFICE",
            "identifier": "E929440282",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2477",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Marie Conant
• Vickie Conner, LCSW
• Britney Nicole Constans, DO
• Conversations & More, LLC
• Elizabeth Harrison Conyers, PAC
• Krystallia Nicole Cook
• Sarah Cooler
• Kimberly Michelle Coonce, PA-C
• Nigel Corbitt
• Alexia Cormier, B.A.

• Dermatology Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.