Individual provider Active NPI

Lane Marshall Cook, M.D.

  • Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1174509590
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD014748 Issued in TN
Practice address
4428 Sutherland Ave
Knoxville, TN 37919-5008
Phone
(865) 588-6425
Fax
(865) 584-8066
NPI assigned
Dec 17, 2005
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD014748 TN Primary

Addresses

Primary practice location

4428 Sutherland Ave
Knoxville, TN 37919-5008

Mailing address

PO Box 10187
Knoxville, TN 37939-0187
Phone (865) 588-6425

Other identifiers 3

IdentifierTypeStateIssuer
25080OtherTNBLUE CROSS IDENTIFIER
3713251OtherTNMEDICARE INDIVIDUAL PTAN
3713251MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000536 TN Practitioner - Psychiatry 3072603356 Reassigns benefits to 1 organization
Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4428 Sutherland Ave
Knoxville, TN 37919-5008
Phone (865) 588-6425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD014748TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lane M. Cook, M.D. Psychiatry CurrentSince Jan 1, 1990 Accepting new patients
Sutherland Psychiatry PLLC Psychiatry CurrentSince May 1, 2024 Accepting new patients
Lane M Cook Psychiatry CurrentSince Sep 1, 2023 Accepting new patients

Locations

4428 Sutherland Ave
Knoxville, TN 37919
Phone (865) 588-6425

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1174509590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10187",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379390187",
            "telephone_number": "865-588-6425",
            "fax_number": "865-584-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195008",
            "telephone_number": "865-588-6425",
            "fax_number": "865-584-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "LANE",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-17",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD014748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDENTIFIER",
            "identifier": "25080",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "3713251",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3713251",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.