NPIMap

Organization Active NPI

Parkridge Medical Center, Inc.

Doing business as Parkridge Valley Cleveland Outpatient Program, a department of Parkridge Medical Center

  • Clinic/Center
  • Cleveland, TN
National Provider Identifier
1376478859
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PARKRIDGE MEDICAL CENTER, INC.
Doing business as
Parkridge Valley Cleveland Outpatient Program, a department of Parkridge Medical Center
Practice address
1855 Executive Park NW
Cleveland, TN 37312-2715
Phone
(423) 472-1999
NPI assigned
Jun 16, 2026
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKRIDGE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Christopher Cosby
Title
Ceo
Phone
(423) 472-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1855 Executive Park NW
Cleveland, TN 37312-2715

Mailing address

1855 Executive Park NW
Cleveland, TN 37312-2715
Phone (423) 472-1999

Other names 1

  • Parkridge Valley Cleveland Outpatient Program, a department of Parkridge Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

National Provider Directory

National Provider Directory
Tax ID family
Tsaki Lawson MD12 organizations share this tax ID, including this one
Part of
Tsaki Lawson MD

Other organizations with this tax ID 11

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

Locations

1855 Executive Park NW
Cleveland, TN 37312
Phone (423) 472-1999

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1376478859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 EXECUTIVE PARK NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122715",
            "telephone_number": "423-472-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 EXECUTIVE PARK NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122715",
            "telephone_number": "423-472-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKRIDGE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKRIDGE MEDICAL CENTER, INC.",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-472-1999"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Parkridge Valley Cleveland Outpatient Program, a department of Parkridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.