Active NPI
Putnam Emergency Physicians, PLLC
- Emergency Medicine Physician
- Cookeville, TN
National Provider Identifier
1891475752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PUTNAM EMERGENCY PHYSICIANS, PLLC
- Practice address
- 1 Medical Center Blvd
Cookeville, TN 38501-4294 - Phone
- (931) 528-2541
- NPI assigned
- Jul 24, 2023
- 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
- Kim Larsen
- Title
- Director of Credentialing
- Phone
- (770) 874-5400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1 Medical Center Blvd
Cookeville, TN 38501-4294
Mailing address
PO Box 36484
Belfast, ME 04915-1206
Phone (770) 874-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230829001399 | TN | Part B Supplier - Clinic/Group Practice | 3779946488 |
Receives reassigned benefits from 86 practitioners Practice locations: Cookeville, TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 88
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1578820627
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Clarksville, TN
- NPI 1841234432
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Dickson, TN
- NPI 1275624470
Emergency Medicine, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1891475752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36484",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151206",
"telephone_number": "770-874-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014294",
"telephone_number": "931-528-2541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUTNAM EMERGENCY PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "770-874-5400"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Aug 13, 2026; 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.