P Praxis·MD
● Active Type 1 · Individual

Jordan Fayth Cooke, PA-C

Physician Assistant·Tyler, TX· NPI 1033628383 · Enumerated 2017 · 8 years on NPI
Cooke is 1 of 18 physician assistant providers in Tyler and 1 of 1890 in Texas.
NPI age
8 years
Enumerated 2017-09-28
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
8 years
↓ 3 yr below median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-09Enumerated in NPPES
2017 2026

Where they practice

Practice location
8101 S Broadway Ave
Tyler, TX 757035469
📞 9039397500fax 9039397728
Mailing address
3414 Golden Rd
Tyler, TX 757018336
📞 9039397500fax 9039397728

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
305 W 20th St
Mt Pleasant, TX 754552327
📞 9039397500fax 9039397728
Location 3
708 E Corsicana St
Athens, TX 757512627
📞 9039397500fax 9039397728
Location 4
925 W Loop 281
Longview, TX 756042918
📞 9039397500fax 9039397728
Location 5
3414 Golden Rd
Tyler, TX 757018336
📞 9039397500fax 9039397728

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA11584 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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