Organization Active NPI

Cocke County Hma LLC

Doing business as Tennova Newport Convalescent Center

  • Nursing Facility/Intermediate Care Facility
  • Newport, TN
National Provider Identifier
1346213642
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
COCKE COUNTY HMA LLC
Doing business as
Tennova Newport Convalescent Center
Practice address
450 College Street
Newport, TN 37821-3752
Phone
(435) 625-2105
NPI assigned
Feb 8, 2006
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Edna S Buffington-Price
Title
VP/Authorized Official
Phone
(256) 282-2943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU Primary

Addresses

Primary practice location

450 College Street
Newport, TN 37821-3752

Mailing address

450 College Street
Newport, TN 37821-3752
Phone (435) 625-2105

Other identifiers 1

IdentifierTypeStateIssuer
7440369MedicaidTN

Other names 1

  • Tennova Newport Convalescent Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1079042Cocke County Hma LLC450 College Street, Newport, TN 37821Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Center for Industrial Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1346213642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 COLLEGE STREET",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213752",
            "telephone_number": "435-625-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 COLLEGE STREET",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213752",
            "telephone_number": "435-625-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCKE COUNTY HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BUFFINGTON-PRICE",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "256-282-2943"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440369",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Newport Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.