| Innovative Family Care, Pllc | |
| 3300 Williams Enterprise Dr Cookeville TN 38506-4280 | |
| (931) 528-9222 | |
| (931) 854-0907 | 
| Full Name | Innovative Family Care, Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 3300 Williams Enterprise Dr, Cookeville, Tennessee | 
| Authorized Official Name and Position | Libby B Plunkett (PRACTICE MANAGER) | 
| Authorized Official Contact | 9315289222 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Innovative Family Care, Pllc 3300 Williams Enterprise Dr Cookeville TN 38506-4280 Ph: (931) 528-9222 | Innovative Family Care, Pllc 3300 Williams Enterprise Dr Cookeville TN 38506-4280 Ph: (931) 528-9222 | 
| NPI Number | 1720345408 | 
|---|---|
| Provider Enumeration Date | 04/18/2012 | 
| Last Update Date | 12/06/2022 | 
| Medicare PECOS PAC ID | 0042474942 | 
|---|---|
| Medicare Enrollment ID | O20120605000463 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720345408 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 23607 (Tennessee) | Primary | 
| Provider Name | Matthew J King | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1932101284 PECOS PAC ID: 0446217442 Enrollment ID: I20041210000785 | 
| Provider Name | Chet M Gentry | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1851380406 PECOS PAC ID: 8527021641 Enrollment ID: I20070129000606 | 
| Provider Name | Sandra C Thompson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992715874 PECOS PAC ID: 7911078167 Enrollment ID: I20080617000187 | 
| Provider Name | Anna Margaret Williams | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1770009250 PECOS PAC ID: 3577821768 Enrollment ID: I20171215002502 | 
| Provider Name | William Timothy Wilson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174140008 PECOS PAC ID: 0345652384 Enrollment ID: I20201215002125 | 
| Provider Name | Kathryn Wayne | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1154911857 PECOS PAC ID: 1759772924 Enrollment ID: I20211222002090 | 
| Provider Name | Addison Claire Wright | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760206601 PECOS PAC ID: 3678096161 Enrollment ID: I20250325002979 | 
| 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 | |
| Independent Physical Therapy 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: Not Enrolled in Medicare Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
| Crossroads Urgent Care Pllc 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 | |
| North Willow Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 N Willow Ave, Cookeville, TN 38501 Phone: 931-372-7788 Fax: 031-372-7799 | |
| Quality Medical Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W 5th St, Cookeville, TN 38501 Phone: 931-526-1688 Fax: 931-372-0234 |