NPIMap

Organization Active NPI

Lane M Cook

Doing business as Sutherland Associates

  • Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1578245312
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LANE M COOK
Doing business as
Sutherland Associates
Practice address
4428 Sutherland Ave
Knoxville, TN 37919-5008
Phone
(865) 588-6425
Fax
(865) 584-8066
NPI assigned
Aug 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Lane M Cook, MDNPI 1174509590
Title
Owner/Provider
Phone
(865) 588-6425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4428 Sutherland Ave
Knoxville, TN 37919-5008

Mailing address

PO Box 10187
Knoxville, TN 37939-0187
Phone (865) 588-6425

Other names 1

  • Sutherland Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020002288 TN Part B Supplier - Clinic/Group Practice 8527158815 Receives reassigned benefits from 2 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1578245312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10187",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379390187",
            "telephone_number": "865-588-6425",
            "fax_number": "865-584-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195008",
            "telephone_number": "865-588-6425",
            "fax_number": "865-584-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE M COOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "865-588-6425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutherland Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutherland Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.