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

Jacob Lee Cook, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1164932760

Jacob Lee Cook, PHYSICIANASSISTANT is a Physician Assistant in Fort Lee, Virginia. Qualified in 2017, 9 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

700 24th St
Fort Lee, VA 23801-1716
Phone: (804) 734-6093
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

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164932760
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fort Lee