Individual provider Active NPI

Julianna Michele Cook, NP-C

  • Family Nurse Practitioner
  • Hixson, TN
National Provider Identifier
1992472815
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29585 Issued in TN
Practice address
2051 Hamill Rd Ste 103
Hixson, TN 37343-4653
Phone
(423) 756-8871
Fax
(423) 475-8976
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010786 FL
Family Nurse Practitioner 363LF0000X 1031263 TX
Family Nurse Practitioner 363LF0000X 29585 TN Primary
Family Nurse Practitioner 363LF0000X RN254935 GA

Addresses

Primary practice location

2051 Hamill Rd Ste 103
Hixson, TN 37343-4653

Mailing address

PO Box 800
Farmington, GA 30638-0800
Phone (706) 207-8861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20211014001135 TN Practitioner - Nurse Practitioner 9032517545 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29585TNMDInternal Medicine Physician
11010786FLMDFamily Nurse Practitioner
RN254935GAMDFamily Nurse Practitioner
1031263TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC Current Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Nov 1, 2021 Accepting new patients
Beacon Health Alliance PC CurrentSince Sep 16, 2024 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Nov 1, 2021 Accepting new patients
Memorial Health Partners Foundation, Inc Past Accepting new patients

Locations

725 Glenwood Dr
Ste E480
Chattanooga, TN 37404
Phone (423) 629-1491

2051 Hamill Rd
Ste 103
Hixson, TN 37343
Phone (423) 756-8871

100 Hunters Ln
Tullahoma, TN 37388
Phone (931) 455-4616

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1992472815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "FARMINGTON",
            "state": "GA",
            "postal_code": "306380800",
            "telephone_number": "706-207-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD STE 103",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434653",
            "telephone_number": "423-756-8871",
            "fax_number": "423-475-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JULIANNA",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1031263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29585",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN254935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.