Active NPI
Thomas L Lawrence, MD
- Specialist
- Cookeville, TN
National Provider Identifier
1699723825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11183
- Practice address
- 100 W 4TH St
Suite 200
Cookeville, TN 38501-2448 - Phone
- (931) 528-1575
- Fax
- (931) 526-2962
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 11183 | TN | Primary |
Addresses
Primary practice location
100 W 4TH St
Suite 200
Cookeville, TN 38501-2448
Mailing address
100 W 4TH St
Suite 200
Cookeville, TN 38501-2448
Phone (931) 528-1575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3172218 | 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 |
|---|---|---|---|
| 11183 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cookeville Surgery Center | Past | Accepting new patients | |
| Upper Cumberland Otolaryngology Clinic, PC | Specialist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJCECD
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.
-
- Ambulatory Surgical Clinic/Center
- Cookeville, TN
- NPI 1831283860
-
- Specialist
- Cookeville, TN
- NPI 1598821464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699723825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 4TH ST",
"address_2": "SUITE 200",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012448",
"telephone_number": "931-528-1575",
"fax_number": "931-526-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 4TH ST",
"address_2": "SUITE 200",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012448",
"telephone_number": "931-528-1575",
"fax_number": "931-526-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "THOMAS",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "11183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3172218",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.