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Samuel William Cook III, PAC

Physician Assistant in Johnson City, TN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033307939

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Registry record

Entity type Individual (Type 1)
Name Samuel William Cook III
Credential PAC
Sex Male
Practice address 2410 Susannah Street, Johnson City, TN, 37601
Phone (423) 282-9011
Fax (423) 282-0035
Enumeration date Oct 5, 2007
Last updated in NPPES Dec 16, 2019

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 305 (TN) Primary

Other identifiers

Identifier Type State Issuer
1507032 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Samuel Cook practice?
The practice location on file with NPPES is in Johnson City, TN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Samuel Cook?
The National Provider Identifier (NPI) for Samuel Cook is 1033307939, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-16.