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

Individual provider Physician Assistant · NPI 1851062012

Ebony Joy Cooke, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Lamond Family Medicine PLLC, a 46-clinician group and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
4
Licensed in
GA, NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670
Phone: (704) 774-6569
Fax: (855) 308-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-16130 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 11485 (GA)

Record details

NPI number1851062012
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lamond Family Medicine Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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