RANDOLPH D COOKE PH.D.
NPI 1861475899
Psychologist - Clinical in Ft. Gordon, GA

Q: What is Randolph Cooke's NPI number?

The NPI number for Randolph Cooke is 1861475899. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Q: What is Randolph Cooke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Cooke was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 23, 2005PECOS Enrolled

300 HOSPITAL RD, FAMILY MEDICINE CLINIC, FT. GORDON, GA 30905(706) 787-9352 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Randolph D Cooke Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH D COOKE PH.D. (NPI 1861475899) is an individual clinical provider in Ft. Gordon, Georgia, licensed in Arizona (3124) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861475899

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameRANDOLPH D COOKECredential: PH.D.

Location Address300 HOSPITAL RD, FAMILY MEDICINE CLINICFt. Gordon, GA 30905

Mailing Address300 Hospital Road, Family Medicine ClinicFt Gordon, GA 30905-5650 · (706) 787-0232

Phone(706) 787-9352

Sole ProprietorNo

Enumeration DateNovember 23, 2005

Last NPPES UpdateOctober 8, 2013

✔ NPI 1861475899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AZ · 3124

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

300 HOSPITAL RD, Ft. Gordon, GA 30905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randolph D Cooke Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBECCA BLAIR BONIN MA OTR/L

Occupational Therapist

300 HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-1056

CARRIE SILAS FOGAL NP

Nurse Practitioner (Family)

300 HOSPITAL RD
FT GORDON, GA 30905

Richmond County (706) 799-9915

VASSIE BEATRICE WADE

Technician, Other

300 HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-8290

GARY BRUNSON RN

Registered Nurse (Case Management)

300 HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-1266

MRS. MELISSA S GAUTREAUX

Counselor (Mental Health)

300 HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-9043

DR. NANCY A BURKHALTER PHARM.D.

Pharmacist (Pharmacotherapy)

300 HOSPITAL RD, 2ND FLOOR, FAMILY MEDICINE CLINIC
FORT. GORDON, GA 30905

Richmond County (706) 787-0025

NICOLAS BRAVO III

Occupational Therapist

300 HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-1049

ROSALIND BLACKMON

Registered Nurse

300 HOSPITAL RD
FT. GORDON, GA 30905

Richmond County (706) 787-8290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Cooke's NPI number?

The NPI number for Randolph Cooke is 1861475899. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Randolph Cooke located?

Randolph Cooke practices at 300 Hospital Rd Family Medicine Clinic, Ft. Gordon, GA 30905. The listed phone number is (706) 787-9352.

What is Randolph Cooke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Randolph Cooke enrolled in Medicare?

Yes. Randolph Cooke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randolph Cooke was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.