Healthcare Provider Details

I. General information

NPI: 1194419101
Provider Name (Legal Business Name): DAVID LAWRENCE COOKMEYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4226
US

IV. Provider business mailing address

101 MANNING DR # 7085
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-1931
  • Fax: 984-974-2216
Mailing address:
  • Phone: 984-974-1931
  • Fax: 984-974-2216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026-04425
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: