Active NPI
Julianna Michele Cook, NP-C
- Family Nurse Practitioner
- Hixson, TN
National Provider Identifier
1992472815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29585
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 29585 | TN | MD | Internal Medicine Physician |
| 11010786 | FL | MD | Family Nurse Practitioner |
| RN254935 | GA | MD | Family Nurse Practitioner |
| 1031263 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Beacon Health Alliance PC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | 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.
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1174365803
-
- Licensed Practical Nurse
- Monteagle, TN
- NPI 1669753042
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.