Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jezeriah Wayne Cook, PA-C

Individual provider Physician Assistant · NPI 1225066517

Mr. Jezeriah Wayne Cook, PA-C is a Physician Assistant in Hampton, Virginia. Qualified in 2005, 21 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9 Manhattan Sq Ste A
Hampton, VA 23666-6262
Phone: (757) 838-6335
Fax: (757) 838-0612
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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 0110002140 (VA)

Record details

NPI number1225066517
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 28, 2006
Last updated in NPPESMay 16, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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