COOK PRIMARY CARE LLC
NPI 1922979624
Family Medicine in Chatsworth, GA

Active since September 15, 2025CLIA 11D2336911 · Waiver
100 HOSPITAL DR, CHATSWORTH, GA 30705(706) 695-4546 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cook Primary Care Llc NPPES

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

COOK PRIMARY CARE LLC (NPI 1922979624) is a healthcare organization registered as a family medicine in Chatsworth, Georgia and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Judith Cook, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1922979624
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOK PRIMARY CARE LLC
Location Address100 HOSPITAL DRChatsworth, GA 30705-2058
Mailing AddressPo Box 430Chatsworth, GA 30705-0430 · (706) 695-4546
Organization SubpartNo
Authorized OfficialJudith CookManaging Member · (706) 264-3451
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
NPI 1922979624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 HOSPITAL DR, Chatsworth, GA 30705

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2336911

Cook Primary Care, LLC · Chatsworth, GA
Active · expires Jan 12, 2028
CLIA Number11D2336911
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorRobert Ted Cook
Laboratory Phone(706) 695-4546
Laboratory LocationCook Primary Care, LLC100 Hospital Drive, Chatsworth, GA 30705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
100 HOSPITAL DR
CHATSWORTH, GA 30705

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 Cook Primary Care LLC's NPI number?

The NPI number for Cook Primary Care LLC is 1922979624. It was assigned to this organization in the NPPES registry on September 15, 2025.

Where is Cook Primary Care LLC located?

Cook Primary Care LLC is located at 100 Hospital Dr, Chatsworth, GA 30705. The listed phone number is (706) 695-4546.

What is Cook Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cook Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2336911) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cook Primary Care LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.