Active NPI
Lanny M Leftwich Jr., M.D.
- Psychiatry Physician
- Cookeville, TN
National Provider Identifier
1508848169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD0000035021
- Practice address
- 509 N Cedar Ave
Cookeville, TN 38501-1707 - Phone
- (931) 520-8435
- Fax
- (931) 372-7225
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD0000035021 | TN | Primary |
Addresses
Primary practice location
509 N Cedar Ave
Cookeville, TN 38501-1707
Mailing address
501 Great Circle Road
Suite 200
Nashville, TN 37228
Phone (931) 738-9211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3327418 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000035021 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Physician Services Inc | Past | Accepting new patients | |
| Cherokee Health Systems | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
Psychiatry
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1417950122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1508848169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 GREAT CIRCLE ROAD",
"address_2": "SUITE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37228",
"telephone_number": "931-738-9211",
"fax_number": "931-738-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N CEDAR AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011707",
"telephone_number": "931-520-8435",
"fax_number": "931-372-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFTWICH",
"first_name": "LANNY",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD0000035021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3327418",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.