Kimberly M. Cook
NPI 1003370230ActiveIndividual· Physician Assistant· Jackson, MS
Physician Assistant with State of Mississippi - University of Mississippi Medical Center, practicing in Jackson, Mississippi. Mostly services rather than prescriptions: Medicare paid $1,188 for 11 patients in 2024, with only 21 Part D claims. Lists University of Mississippi Med Center as a hospital affiliation.
Overview
| NPI | 1003370230 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2019 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Sep 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA.0006218 | CO |
| Military Health Care Provider | 171000000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | PA00757 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 24 across 4 procedure codes |
| Paid by Medicare | $1,188 |
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 21 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $637.14 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- State of Mississippi - University of Mississippi Medical CenterJackson, MS · 965 clinicians
Hospital affiliation
- University of Mississippi Med CenterJackson, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Jackson
- 1760633309
- 1235900549
- 1679103337
- 1902625098
- 1962360107
- 1609639558
- 1932938453
- 1265904593
- 1144841396
- 1982234183
- 1922541093
- 1114759792