| Cookeville Regional Medical Group, Inc | |
|
140 W 7th St Cookeville TN 38501-1726 | |
| (931) 783-5582 | |
| Not Available |
| Full Name | Cookeville Regional Medical Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 W 7th St, Cookeville, Tennessee |
| Authorized Official Name and Position | Marilyn C Key (CEO) |
| Authorized Official Contact | 9317832481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cookeville Regional Medical Group, Inc Po Box 15060 Belfast ME 04915-4045 Ph: (931) 783-5857 | Cookeville Regional Medical Group, Inc 140 W 7th St Cookeville TN 38501-1726 Ph: (931) 783-5582 |
| NPI Number | 1649202102 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 8325092638 |
|---|---|
| Medicare Enrollment ID | O20050309000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649202102 | NPI | - | NPPES |
| 3727506 | Other | MEDICARE GROUP PTAN |
| Provider Name | David J Henson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1801899224 PECOS PAC ID: 9739091992 Enrollment ID: I20031108000022 |
| Provider Name | Phillip D Bertram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487648507 PECOS PAC ID: 9032013701 Enrollment ID: I20040109000837 |
| Provider Name | Lori L Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336133248 PECOS PAC ID: 2769386440 Enrollment ID: I20040109000941 |
| Provider Name | Sandra L Bailiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760476881 PECOS PAC ID: 3971403692 Enrollment ID: I20040110000124 |
| Provider Name | Deborah G Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891777017 PECOS PAC ID: 2961475520 Enrollment ID: I20040813000074 |
| Provider Name | Scott Dryzer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164494621 PECOS PAC ID: 1557335395 Enrollment ID: I20040825001535 |
| Provider Name | Carolyn A Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881699700 PECOS PAC ID: 5294700704 Enrollment ID: I20040828000152 |
| Provider Name | Nancy B Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760473748 PECOS PAC ID: 6608845854 Enrollment ID: I20040925000094 |
| Provider Name | Randy A Gaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669406500 PECOS PAC ID: 4385697788 Enrollment ID: I20050225000206 |
| Provider Name | Roy R Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386668838 PECOS PAC ID: 9830145317 Enrollment ID: I20050330000358 |
| Provider Name | William T Faith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235101809 PECOS PAC ID: 6406895945 Enrollment ID: I20050426000049 |
| Provider Name | Anca Pop |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871515817 PECOS PAC ID: 8921047911 Enrollment ID: I20050708000265 |
| Provider Name | Tarek S Absi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578647681 PECOS PAC ID: 2769416882 Enrollment ID: I20050919000826 |
| Provider Name | Chike Nzerue |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912976762 PECOS PAC ID: 1850322017 Enrollment ID: I20060111000681 |
| Provider Name | Robert Lewis Wilson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629002928 PECOS PAC ID: 2961411772 Enrollment ID: I20060831000453 |
| Provider Name | Gerald T Chapman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1417988924 PECOS PAC ID: 2062421878 Enrollment ID: I20060831000480 |
| Provider Name | Julie A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730107392 PECOS PAC ID: 2466450192 Enrollment ID: I20061113000440 |
| Provider Name | Ricky Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578670477 PECOS PAC ID: 6800830753 Enrollment ID: I20070404000487 |
| Provider Name | Maan A Anbari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952303166 PECOS PAC ID: 9234223934 Enrollment ID: I20070925000351 |
| Provider Name | Wendy D Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407879299 PECOS PAC ID: 4688754708 Enrollment ID: I20080102000336 |
| Provider Name | William F Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609848738 PECOS PAC ID: 1557432705 Enrollment ID: I20080617000194 |
| Provider Name | Douglas Linfert |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710032255 PECOS PAC ID: 7618041427 Enrollment ID: I20080728000556 |
| Provider Name | Mary Lou C Fornehed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083647275 PECOS PAC ID: 4284788068 Enrollment ID: I20090812000947 |
| Provider Name | Gregory Szych |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841268521 PECOS PAC ID: 4688655467 Enrollment ID: I20100119000298 |
| Provider Name | Timothy J Powell |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801890694 PECOS PAC ID: 7911002019 Enrollment ID: I20100303000505 |
| Provider Name | Bernadette S Hee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902839806 PECOS PAC ID: 4587697859 Enrollment ID: I20100527000538 |
| Provider Name | Anthony D Khim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295736940 PECOS PAC ID: 7113988197 Enrollment ID: I20100602000493 |
| Provider Name | Douglas C Dycus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780601708 PECOS PAC ID: 2062402522 Enrollment ID: I20100823000302 |
| Provider Name | Michael A Rawdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013904184 PECOS PAC ID: 9739213018 Enrollment ID: I20100823000794 |
| Provider Name | Alan Michael Alabaster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295840510 PECOS PAC ID: 7214955830 Enrollment ID: I20100921000356 |
| Provider Name | Lee Moore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508859166 PECOS PAC ID: 8729153515 Enrollment ID: I20101105000772 |
| Provider Name | Connie Whitesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427042548 PECOS PAC ID: 1759576325 Enrollment ID: I20101109000335 |
| Provider Name | Zaid Brifkani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457516163 PECOS PAC ID: 6507036092 Enrollment ID: I20110818000526 |
| Provider Name | Rohini Kasturi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417181934 PECOS PAC ID: 8426229386 Enrollment ID: I20110926000471 |
| Provider Name | Wendy S Dewberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063644243 PECOS PAC ID: 2062689755 Enrollment ID: I20120120000444 |
| Provider Name | Upasana Bardhan Chakraborty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649459033 PECOS PAC ID: 3779739115 Enrollment ID: I20120817000283 |
| Provider Name | Jessica L Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073954400 PECOS PAC ID: 2668606120 Enrollment ID: I20131016001064 |
| Provider Name | Emily P Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689007981 PECOS PAC ID: 8527295476 Enrollment ID: I20131220001032 |
| Provider Name | Beverly Boykin Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790752442 PECOS PAC ID: 7012049513 Enrollment ID: I20140723000934 |
| Provider Name | Joseph M Gleason |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760669808 PECOS PAC ID: 0941366587 Enrollment ID: I20140825000837 |
| Provider Name | Eric C Lisic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356632152 PECOS PAC ID: 7113163650 Enrollment ID: I20140916001378 |
| Provider Name | Lora P Worsham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679866412 PECOS PAC ID: 0446497663 Enrollment ID: I20140917001762 |
| Provider Name | Qurrat-ul-ain Shamim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881894582 PECOS PAC ID: 3678714664 Enrollment ID: I20141015001781 |
| Provider Name | Laura Rene Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053618074 PECOS PAC ID: 0042484784 Enrollment ID: I20150205000789 |
| Provider Name | Dolores M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932536125 PECOS PAC ID: 0648407130 Enrollment ID: I20150311000166 |
| Provider Name | Samuel S Jacobson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326020843 PECOS PAC ID: 2062500788 Enrollment ID: I20150327000770 |
| Provider Name | Kayla E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699167791 PECOS PAC ID: 1658689989 Enrollment ID: I20151006001063 |
| Provider Name | Alyssa Saelens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871756080 PECOS PAC ID: 8628104452 Enrollment ID: I20151230001264 |
| Provider Name | Christine Barbara Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073971891 PECOS PAC ID: 5890092340 Enrollment ID: I20160328001616 |
| Provider Name | Ashley Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063877678 PECOS PAC ID: 7618274770 Enrollment ID: I20160405000916 |
| Provider Name | Cheryle L Levoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639554066 PECOS PAC ID: 3678871092 Enrollment ID: I20160418001597 |
| Provider Name | Gail J Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346524279 PECOS PAC ID: 4587814561 Enrollment ID: I20160810000884 |
| Provider Name | Maggie Anna Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659751865 PECOS PAC ID: 3072807221 Enrollment ID: I20160810001669 |
| Provider Name | Jody Lynn Haddock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588980999 PECOS PAC ID: 6002052693 Enrollment ID: I20160930000146 |
| Provider Name | Melissa M Levack |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629273214 PECOS PAC ID: 8224281456 Enrollment ID: I20171017001060 |
| Provider Name | Sarah Worley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922445378 PECOS PAC ID: 0547549354 Enrollment ID: I20180507000884 |
| Provider Name | Dana Michelle Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063911899 PECOS PAC ID: 9335495514 Enrollment ID: I20180629001939 |
| Provider Name | Carol Franklin Berg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184649246 PECOS PAC ID: 2365499217 Enrollment ID: I20180730002285 |
| Provider Name | Joseph Anthony Veys |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861464208 PECOS PAC ID: 8628053618 Enrollment ID: I20180807001306 |
| Provider Name | Hannah Cooper Rinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376042317 PECOS PAC ID: 6002166642 Enrollment ID: I20180901000119 |
| Provider Name | Keelyn Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790219061 PECOS PAC ID: 2769733252 Enrollment ID: I20180921002642 |
| Provider Name | Hafiza Sobia Arshad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053667980 PECOS PAC ID: 1355692682 Enrollment ID: I20180925002297 |
| Provider Name | Marika Manolopoulou |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033475058 PECOS PAC ID: 6507117843 Enrollment ID: I20180925002928 |
| Provider Name | Page V. Salenger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295737609 PECOS PAC ID: 5496743007 Enrollment ID: I20181105001085 |
| Provider Name | Vineesha Arelli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255598363 PECOS PAC ID: 6103051404 Enrollment ID: I20181210001446 |
| Provider Name | Elizabeth White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891019055 PECOS PAC ID: 9638089303 Enrollment ID: I20181218001031 |
| Provider Name | James Chike Ezi-ashi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063473569 PECOS PAC ID: 0446225320 Enrollment ID: I20181226001846 |
| Provider Name | James Wade Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477559649 PECOS PAC ID: 4385743822 Enrollment ID: I20190102001919 |
| Provider Name | Luis R Urbina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609855063 PECOS PAC ID: 0244224459 Enrollment ID: I20190201000900 |
| Provider Name | Kathryn Marie Kowalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174085443 PECOS PAC ID: 6103168489 Enrollment ID: I20190507002384 |
| Provider Name | Kendra Simonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346803467 PECOS PAC ID: 3577806090 Enrollment ID: I20190523001450 |
| Provider Name | Brenton Allen Hugh Rogers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982036778 PECOS PAC ID: 8729322029 Enrollment ID: I20190725000457 |
| Provider Name | Kaushal Kantibhai Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396186466 PECOS PAC ID: 4486942711 Enrollment ID: I20190726000519 |
| Provider Name | Michael Alexander Sywak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003104639 PECOS PAC ID: 2365780954 Enrollment ID: I20190809000262 |
| Provider Name | Jordan R Hoffman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1710276241 PECOS PAC ID: 0446559207 Enrollment ID: I20190814002291 |
| Provider Name | Nicole E Pisapia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952743411 PECOS PAC ID: 6002150323 Enrollment ID: I20190916000524 |
| Provider Name | Ankur Ahuja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912263005 PECOS PAC ID: 8527369990 Enrollment ID: I20191001002591 |
| Provider Name | Robert Andrews Bass |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003957952 PECOS PAC ID: 0648365049 Enrollment ID: I20191022002866 |
| Provider Name | Thomas Edward Dykes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710069034 PECOS PAC ID: 3476734252 Enrollment ID: I20200106000048 |
| Provider Name | Shauna Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134677727 PECOS PAC ID: 3779863378 Enrollment ID: I20200417002894 |
| Provider Name | William Gourdin Mcmaster |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124345574 PECOS PAC ID: 5496045387 Enrollment ID: I20200518000571 |
| Provider Name | Andrew Yang Sun |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033553409 PECOS PAC ID: 7012219538 Enrollment ID: I20200723000600 |
| Provider Name | Matthew Elliott Pollard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720421886 PECOS PAC ID: 4082967930 Enrollment ID: I20200813001407 |
| Provider Name | Justin Houman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053794016 PECOS PAC ID: 6103158969 Enrollment ID: I20200923003104 |
| Provider Name | Tera Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598391831 PECOS PAC ID: 8123448982 Enrollment ID: I20201015002444 |
| Provider Name | Michael D Coleman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982634580 PECOS PAC ID: 8123092509 Enrollment ID: I20201211000973 |
| Provider Name | Kaitlyn Brooke Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427634583 PECOS PAC ID: 1153730346 Enrollment ID: I20210428002517 |
| Provider Name | Abdrahim N Aloud |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699179556 PECOS PAC ID: 5991097602 Enrollment ID: I20210514001188 |
| Provider Name | Chidiebube Egwim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962866467 PECOS PAC ID: 2264725605 Enrollment ID: I20210701001121 |
| Provider Name | Arie Blitz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629096011 PECOS PAC ID: 2567423544 Enrollment ID: I20210803002911 |
| Provider Name | Natalie Alonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952848236 PECOS PAC ID: 1850668617 Enrollment ID: I20210816001521 |
| Provider Name | Richard Cochran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013996586 PECOS PAC ID: 8921042870 Enrollment ID: I20210910001283 |
| Provider Name | Adry Ryan Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346915410 PECOS PAC ID: 5698173276 Enrollment ID: I20211012002901 |
| Provider Name | Lisa Sue Robinson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144431743 PECOS PAC ID: 5698847192 Enrollment ID: I20220223000771 |
| Provider Name | Charity Krista Zoodsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457006215 PECOS PAC ID: 5294122321 Enrollment ID: I20220420000895 |
| Provider Name | Muhammad Ziad Souqiyyeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538612015 PECOS PAC ID: 8921389404 Enrollment ID: I20220427003301 |
| Provider Name | Aaron A Moore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699137794 PECOS PAC ID: 4587959424 Enrollment ID: I20220512001739 |
| Provider Name | Billy Parsons |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568457828 PECOS PAC ID: 1759414899 Enrollment ID: I20220518001091 |
| Provider Name | Nirav Parikh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811331184 PECOS PAC ID: 2961782438 Enrollment ID: I20220525000682 |
| Provider Name | Zouhair Bibi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538114830 PECOS PAC ID: 5395713424 Enrollment ID: I20220602000057 |
| Provider Name | Michael Harris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366511560 PECOS PAC ID: 2365432671 Enrollment ID: I20220712003780 |
| Provider Name | Alexander Keith Sapp |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467831305 PECOS PAC ID: 2860701380 Enrollment ID: I20220725001289 |
| Provider Name | Mary Ann Lange Bishop |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609929801 PECOS PAC ID: 9335280676 Enrollment ID: I20220725001566 |
| Provider Name | Anna Nicole Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992433270 PECOS PAC ID: 5890179667 Enrollment ID: I20220826002931 |
| Provider Name | Swaroopa Rani Nalamalapu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770947517 PECOS PAC ID: 1355649757 Enrollment ID: I20220903000010 |
| Provider Name | James Paul Shaffer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801859368 PECOS PAC ID: 8729085139 Enrollment ID: I20230313001587 |
| Provider Name | Daniel Lee Howell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235393612 PECOS PAC ID: 1153497623 Enrollment ID: I20230320000482 |
| Provider Name | Gowthami Kobbari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376061226 PECOS PAC ID: 7012372394 Enrollment ID: I20230421000483 |
| Provider Name | Vanessa Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336305440 PECOS PAC ID: 1153489976 Enrollment ID: I20230519000582 |
| Provider Name | Jason Easterday |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831689546 PECOS PAC ID: 2466703293 Enrollment ID: I20230519002705 |
| Provider Name | Rungnapa Kannu-melson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932815339 PECOS PAC ID: 0547627473 Enrollment ID: I20230607002298 |
| Provider Name | Kurt Derek Humphrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770756223 PECOS PAC ID: 9739544586 Enrollment ID: I20230830001279 |
| Provider Name | Jeramie L Rosales Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205290319 PECOS PAC ID: 0547515124 Enrollment ID: I20230901003299 |
| Provider Name | Shirisha Reddy Vallepu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548767015 PECOS PAC ID: 8628422664 Enrollment ID: I20230926001187 |
| Provider Name | Shanti Pittampalli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578067476 PECOS PAC ID: 2163878216 Enrollment ID: I20231025001502 |
| Provider Name | Sara Makayla Blaylock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316719586 PECOS PAC ID: 8123475068 Enrollment ID: I20231114002162 |
| Provider Name | Justina Sue Fabich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801513049 PECOS PAC ID: 0840668398 Enrollment ID: I20231209000515 |
Cookeville Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-8899 Fax: 866-813-8531 | |
Kenny W. Lynn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Cedar Ave, Cookeville, TN 38501 Phone: 931-528-7418 Fax: 931-525-6165 | |
Tennessee Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 102, Cookeville, TN 38501 Phone: 931-651-1918 Fax: 931-651-1912 | |
Interstate Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 190, Cookeville, TN 38501 Phone: 931-526-1604 | |
Benchmark Pt - Cookeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 S Jefferson Ave Ste I, Cookeville, TN 38501 Phone: 423-238-7217 | |
1101 Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
Urgent Team Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 S Jefferson Ave Ste 101, Cookeville, TN 38501 Phone: 931-303-0958 Fax: 931-854-1545 |