Active NPI
Cookville Pain Consultants of Putnam County
Doing business as Pain Consultants of Putnam County
- Family Medicine Physician
- Cookeville, TN
National Provider Identifier
1750649315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COOKVILLE PAIN CONSULTANTS OF PUTNAM COUNTY
- Doing business as
- Pain Consultants of Putnam County
- Practice address
- 580 S Jefferson Ave
Cookeville, TN 38501-4010 - Phone
- (931) 526-7104
- Fax
- (931) 526-7105
- NPI assigned
- May 1, 2012
- Last updated
- May 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte D Marks
- Title
- Billing Manager
- Phone
- (931) 952-4910
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TN | Primary | |
| Pain Medicine Physician | 208VP0000X | TN |
Addresses
Primary practice location
580 S Jefferson Ave
Cookeville, TN 38501-4010
Mailing address
P O Box 4129
Cookeville, TN 38502
Phone (931) 526-7104
Other names 1
- PAIN CONSULTANTS OF PUTNAM COUNTY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Manchester, TN
- NPI 1881676856
-
- Family Nurse Practitioner
- Franklin, TN
- NPI 1295824837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337644800000",
"number": "1750649315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 4129",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38502",
"telephone_number": "931-526-7104",
"fax_number": "931-526-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 S JEFFERSON AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014010",
"telephone_number": "931-526-7104",
"fax_number": "931-526-7105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOKVILLE PAIN CONSULTANTS OF PUTNAM COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-01",
"last_updated": "2012-05-22",
"status": "A",
"authorized_official_last_name": "MARKS",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "931-952-4910"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PAIN CONSULTANTS OF PUTNAM COUNTY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cookeville, TN
- Cookeville RX Inc. (Village Pharmacy)
- Cookeville Senior Living LLC (Cedar Hills Retirement Center)
- Cookeville SNF Healthcare LLC (Grandview Post Acute)
- Cookeville Urgent Care
- Cookeville Urology, PLLC
- Ashley Danielle Coon, FNP-BC
- Daniel Francis Coonce, MD
- Jenny Kennedy Cooper, NP
- Samuel Howard Cooper, D.PH.
- Marcie Copass, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.