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

Jackson Bryant Cook

Individual provider Family Nurse Practitioner · NPI 1164304580

Jackson Bryant Cook is a Nurse Practitioner in Carrollton, Georgia. Qualified in 2025, 1 year ago. Practices with Tmc Immediate Care, Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025

Practice location Address checks out

706 Dixie St Ste 220
Carrollton, GA 30117-3889
Phone: (770) 812-8640
Fax: (770) 838-8650
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP316440 (GA)

Record details

NPI number1164304580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address5725 Brenda Dr Sw, Mableton, GA 30126-3121

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tmc Immediate Care, Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Carrollton