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

Kimberly M Cook

Individual provider Military Health Care Provider · NPI 1003370230

Kimberly M Cook is a Physician Assistant in Jackson, Mississippi. Qualified in 2019, 7 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Colorado and Mississippi.

Years since qualifying
7
Licensed in
CO, MS
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-1312
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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 PA.0006218 (CO)
Military Health Care Provider Taxonomy 171000000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00757 (MS)

Record details

NPI number1003370230
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2019
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913-4604

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson