Organization Active NPI

Infinity Family Practice Associates, LLC

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1790098416
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INFINITY FAMILY PRACTICE ASSOCIATES, LLC
Practice address
1080 Neal St
Suite 103
Cookeville, TN 38501-0942
Phone
(931) 520-1529
Fax
(931) 614-7517
NPI assigned
Jul 22, 2010
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Dr. Michael P Casal, M.D.NPI 1568551638
Title
Owner
Phone
(931) 526-3316

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU
Adult Health Nurse Practitioner 363LA2200X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1080 Neal St
Suite 103
Cookeville, TN 38501-0942

Mailing address

1080 Neal St
Suite 103
Cookeville, TN 38501-0942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101019001495 TN Part B Supplier - Clinic/Group Practice 3375736606 Receives reassigned benefits from 4 practitioners
Practice locations: Cookeville, TN
O20250501000408 TN Part A Provider - Rural Health Clinic 3375736606 Practice locations: Cookeville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790098416. Details of each certification follow.

Rural health clinic certification: CCN 888932

Legal name
INFINITY FAMILY PRACTICE ASSOCIATES, LLC
Doing business as
INFINITY FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 11, 2025
Last certification
Apr 11, 2025
Ownership / control type
1A
Organization structure
LLCProprietary
Enrollment address
1080 Neal St
Ste 103
Cookeville, TN 38501-0943

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2010449Infinity Family Practice1080 Neal St Ste 103, Cookeville, TN 38501Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Palma Casal Individual 5% Or Greater Direct Ownership InterestPresident Mar 23, 2010
Corporate OfficerPresident Mar 23, 2010
W-2 Managing EmployeePresident Mar 23, 2010
Operational/Managerial ControlPresident Mar 23, 2010

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

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": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1790098416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NEAL ST",
            "address_2": "SUITE 103",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010942",
            "fax_number": "931-614-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NEAL ST",
            "address_2": "SUITE 103",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010942",
            "telephone_number": "931-520-1529",
            "fax_number": "931-614-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY FAMILY PRACTICE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CASAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-526-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.