Perimeter Pain and Primary

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PERIMETER PAIN AND PRIMARY

Practice address

879 W Jackson St
Cookeville, TN 38501-5901

Phone

(931) 486-3345

Fax

(615) 535-5978

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Bunker, MDNPI 1316086606

Title

Medical Director

Phone

(931) 486-3345

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Timothy R Bunker, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oneida, TN
  • NPI 1316086606

  Pain Medicine, TN

  Medicare reassignment NPD Authorized official
• Kathryn Dubray, DSW

  • Social Worker
  • Cookeville, TN
  • NPI 1730888470
  NPD

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1497414437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015901",
            "telephone_number": "931-400-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015901",
            "telephone_number": "931-486-3345",
            "fax_number": "615-535-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER PAIN AND PRIMARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "931-486-3345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Eve Patterson, FNP
• Christopher William Paugh, MA
• Courtney Renee Pearson, MSN, RN, APRN, FNP-C
• Savannah Hunter Peek, LPN
• Kristi Pendergrass, RN
• Lauren Perkins, PT
• Donald Perry, HIS
• Frank Anthony Perry, M.D.
• Tonya Rachelle Perry
• Personal Development Center, Inc.

• All providers in Cookeville, TN
• Interventional Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.