Individual provider · Type 1 NPI

Ebony Joy Cooke, PA

Physician Assistant · Charlotte, NC

NPI number 1851062012 Active

Practice location

10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670

Fax (855) 308-2340

Mailing address

PO Box 360
Sylva, NC 28779-0360

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X11485 (GA)
Physician Assistant Primary 363A00000X0010-16130 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1851062012

Ebony Joy Cooke, PA's National Provider Identifier is 1851062012, issued on Sep 27, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 20, 2026.