Organization 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
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.