Active NPI
Cocke Physician Services, PC
- Hospitalist Physician
- Newport, TN
National Provider Identifier
1215444500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- COCKE PHYSICIAN SERVICES, PC
- Practice address
- 435 2ND St
Newport, TN 37821-3703 - Phone
- (423) 625-2200
- NPI assigned
- Jan 8, 2018
- Last updated
- Jan 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derik K King
- Title
- President
- Phone
- (423) 625-2200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
435 2ND St
Newport, TN 37821-3703
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1376560912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515369600000",
"number": "1215444500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 2ND ST",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378213703",
"telephone_number": "423-625-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COCKE PHYSICIAN SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "DERIK",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-625-2200"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, TN
- Cocke County Hma LLC (Tennova Newport-4th Street)
- Cocke County Hma LLC (Tennova Newport Convalescent Center)
- Cocke County Hma, LLC (Tennova Healthcare-Newport Medical Center)
- Cocke County Hma, LLC (Tennova Healthcare-Newport Medical Center)
- Cocke Emergency Group, PC
- Marta Murphy Cogburn, FNP-BC
- Kara Coleman
- Brandi Maria Collins
- Meg Marie Collins
- Shirley Ann Collins, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.