NPIMap

Organization Active NPI

Medical Specialists of Cookeville, PLLC

  • Nephrology Physician
  • Cookeville, TN
National Provider Identifier
1912984196
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
7522 Issued in TN
Legal business name
MEDICAL SPECIALISTS OF COOKEVILLE, PLLC
Practice address
128 N Whitney Ave
Cookeville, TN 38501-2450
Phone
(931) 528-7662
Fax
(931) 528-1266
NPI assigned
Dec 28, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Cheryl M Myers
Title
Practice Manager
Phone
(931) 528-7662

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 020230 TN
Internal Medicine Physician 207R00000X 33892 TN
Internal Medicine Physician 207R00000X 38941 TN
Gastroenterology Physician 207RG0100X 6496 TN
Gastroenterology Physician 207RG0100X 13543 TN
Nephrology Physician 207RN0300X 7522 TN Primary

Addresses

Primary practice location

128 N Whitney Ave
Cookeville, TN 38501-2450

Mailing address

128 N Whitney Ave
Cookeville, TN 38501-2450
Phone (931) 528-7662

Other identifiers 1

IdentifierTypeStateIssuer
3723270MedicaidTN

National Provider Directory

National Provider Directory

Locations

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

142 W 5th St
Cookeville, TN 38501
Phone (931) 520-2662

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": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912984196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N WHITNEY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012450",
            "telephone_number": "931-528-7662",
            "fax_number": "931-528-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N WHITNEY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012450",
            "telephone_number": "931-528-7662",
            "fax_number": "931-528-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF COOKEVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "931-528-7662"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "020230",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "33892",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "38941",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "6496",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "13543",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "7522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723270",
            "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 Sep 11, 2025; 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.