Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles David Cook, DNP

Individual provider Nurse Practitioner · NPI 1407288459

Dr. Charles David Cook, DNP is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2021, 5 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

150 Charlois Blvd
Winston Salem, NC 27103-1549
Phone: (336) 865-0344
Fax: (336) 765-7306
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5006328 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5006328 (NC)

Record details

NPI number1407288459
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorYes
NPI enumeratedAugust 1, 2013
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Winston Salem