Individual provider Active NPI

Kristen Lynn Cook, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Albany, GA
National Provider Identifier
1972156057
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN216267 Issued in GA
Practice address
2303 Dawson Rd Ste 101
Albany, GA 31707-2715
Phone
(229) 883-1130
Fax
(229) 883-1153
NPI assigned
Jul 18, 2019
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN216267 GA
Nurse Practitioner 363L00000X RN216267 GA Primary

Addresses

Primary practice location

2303 Dawson Rd Ste 101
Albany, GA 31707-2715

Mailing address

2303 Dawson Rd Ste 101
Albany, GA 31707-2715
Phone (229) 883-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190930003342 GA Practitioner - Nurse Practitioner 5698005908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Georgia, LLCGroup PAC ID 9638485782, 15 clinicians

Practice addresses (Care Compare)

2303 Dawson Rd
Suite 101
Albany, GA 31707-2435
Phone (229) 883-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Georgia, LLC CurrentSince Apr 1, 2024 Accepting new patients
Southern Spine and Health LLC CurrentSince Aug 1, 2019 Accepting new patients
Southern Spine and Health LLC CurrentSince Aug 1, 2019 Accepting new patients
North Georgia Dermatology, P.C. PastSince Aug 1, 2012 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

2303 Dawson Rd
Ste 101
Albany, GA 31707
Phone (229) 883-1130

2601 Stuart Ave
Albany, GA 31707
Phone (229) 405-8900

2601 Stuart Ave
Ste 100
Albany, GA 31707

2709 Meredyth Dr
Ste 340
Albany, GA 31707
Phone (229) 882-1130

771 Old Norcross Rd
Ste 260
Lawrenceville, GA 30046
Phone (770) 962-5040

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

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1972156057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 DAWSON RD STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072715",
            "telephone_number": "229-883-1130",
            "fax_number": "229-883-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 DAWSON RD STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072715",
            "telephone_number": "229-883-1130",
            "fax_number": "229-883-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216267",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN216267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.