MR. JEZERIAH WAYNE COOK (PA-C) – Physician Assistant, NPI 1225066517

MR. JEZERIAH WAYNE COOK (PA-C) is a healthcare provider. based in Hampton, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110002140 (VA). The NPI Number for MR. JEZERIAH WAYNE COOK (PA-C) is 1225066517

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEZERIAH WAYNE COOK (PA-C)
NPI
1225066517
Phone
(757) 838-6335
Address
9 MANHATTAN SQ STE A
Enumeration Date
28 June 2006
Last Update Date
16 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7575387275
Graduation Year
2005 (21 years ago)
PAC ID
3476778028
Group Practice PAC ID
2860398526
Professional Enrollment ID
I20140715002069
Address ID
VA234353752SU1540XWAYX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for MR. JEZERIAH WAYNE COOK (PA-C)

  • 9 MANHATTAN SQ STE A

    HAMPTON, VA 236666262

    Phone: (757) 838-6335

    Fax: (757) 838-0612

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $292.

Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Lilly USA, LLC ($136).

Total Amount

$292

General + Research + Ownership

Payments

4

Total payment records

General Amount

$292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140715002069IPhysician AssistantVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes227169$0
99213Established patient office or other outpatient visit, 20-29 minutes108100$0
36415Insertion of needle into vein for collection of blood sample10067$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count5244$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2727$0
View full utilization report →

Insurance plans in this area (ZIP 23666)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860398526View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MR. JEZERIAH WAYNE COOK (PA-C)'s NPI?
Yes. MR. JEZERIAH WAYNE COOK (PA-C) is listed with NPI 1225066517 in the public NPI dataset.
Can I rely on MR. JEZERIAH WAYNE COOK (PA-C) being an active provider?
As of the registry snapshot, MR. JEZERIAH WAYNE COOK (PA-C) is marked active.
What is MR. JEZERIAH WAYNE COOK (PA-C) best known for clinically?
Directory data describes MR. JEZERIAH WAYNE COOK (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. JEZERIAH WAYNE COOK (PA-C) serve?
MR. JEZERIAH WAYNE COOK (PA-C)'s listing highlights Hampton, Virginia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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