Cumberland Podiatric Surgeons Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DPM0379 Issued in TN

Legal business name

CUMBERLAND PODIATRIC SURGEONS INC

Practice address

3106 Miller Ave Ste 102
Crossville, TN 38555-6217

Phone

(931) 787-1170

Fax

(931) 710-5983

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

David Haverly, DPMNPI 1578585139

Title

Ceo

Phone

(931) 787-1170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David E Haverly, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crossville, TN
  • NPI 1578585139
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1487052668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385570914",
            "telephone_number": "931-787-1170",
            "fax_number": "931-210-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 MILLER AVE STE 102",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556217",
            "telephone_number": "931-787-1170",
            "fax_number": "931-710-5983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Cleveland St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385552854",
            "country_code": "US",
            "telephone_number": "931-707-1170",
            "fax_number": "931-210-5745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUMBERLAND PODIATRIC SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "HAVERLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-787-1170",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM0379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cumberland Medical Center, Inc.
• Cumberland Neuro Rehab Center
• Cumberland Occupational and Urgent Care Center LLC
• Cumberland Optical
• Cumberland Physician Group, LLC
• Cumberland Radiology Group PC
• Cumberland Rheumatology
• Cumberland Rheumatology PLLC
• Cumberland Ridge Assisted Living Facility
• Cumberland Special Care Pharmacy LLC

• Foot & Ankle Surgery Podiatrist in Crossville, TN
• Providers in Crossville, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.