COOK PRIMARY CARE LLC
NPI 1922979624
Family Medicine in Chatsworth, GA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cook Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cook Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Cook Primary Care LLC enrolled in Medicare?
Yes. Cook Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cook Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Cook Primary Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 13 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.
# Cook Primary Care Llc · NPI 1922979624
Family Medicine organization in Chatsworth, Georgia. Organization record, active in the CMS NPPES registry since September 15, 2025.
## Identity
- **NPI:** 1922979624 (Entity type: Organization)
- **Enumerated:** September 15, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Judith Cook, MANAGING MEMBER
## Practice location
- **Address:** 100 HOSPITAL DR, Chatsworth, GA 30705-2058
- **Phone:** (706) 695-4546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922979624) · Data from the CMS NPPES public registry.