Tier 1 Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TIER 1 SURGERY CENTER, LLC

Practice address

520 W Jackson St
Cookeville, TN 38501-5928

Phone

(859) 421-9418

NPI assigned

May 7, 2025

Last updated

May 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dianna B Bennett

Title

Administrator

Phone

(859) 421-9418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326838004. Details of each certification follow.

• CCN 44C0001229 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 44C0001229

Legal name

TIER 1 SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 10, 2026

Last certification

Feb 10, 2026

Ownership / control type

Proprietary

Facility address

520 West Jackson Street
Cookeville, TN 38501

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Campbell Clinic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Germantown, TN
  • NPI 1720001928

  Member Of

  NPD member

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.

• David E Burstedt, MD

  • Pain Medicine (Anesthesiology) Physician
  • Cookeville, TN
  • NPI 1528160371
  NPD (past)

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1326838004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015928",
            "telephone_number": "859-421-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015928",
            "telephone_number": "859-421-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIER 1 SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-421-9418"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cabrina Catherine Thornsberry, RN
• Abigail Rose Thornton, FNP-C
• Bradley Scott Thornton, LPC-MHSP
• Thrive ABA and Feeding Solutions
• Alyssa Thurman, LPC-MHSP TEMP
• Jessica Meade Tillery, CNM
• Emily Michelle Tinch, PTA
• Emily Tipton, M.A.
• Jessica L Titley, PA
• TN Doctors of Optometry, PLLC

• Ambulatory Surgical Clinic/Center in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.