Active NPI
Leon Cochran, MD
- Internal Medicine Physician
- Greeneville, TN
National Provider Identifier
1922000157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD0000004336
- Practice address
- 1021 Coolidge St
Suite 4
Greeneville, TN 37743-4672 - Phone
- (423) 636-8891
- Fax
- (423) 636-1732
- NPI assigned
- Jun 1, 2005
- Last updated
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD0000004336 | TN | Primary |
Addresses
Primary practice location
1021 Coolidge St
Suite 4
Greeneville, TN 37743-4672
Mailing address
PO Box 37087
Baltimore, MD 21297-3087
Phone (828) 687-5616
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30850711 | Medicaid | TN | |
| 080139991 | Other | RAILROAD MEDICARE | |
| 4147640 | Other | TN | BCBS OF TN |
| TN0100 | Other | UNITED HEALTHCARE RIVER V | |
| 3123351 | Other | BLUE CROSS PROVIDER NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000004336 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutherford Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1922000157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37087",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973087",
"telephone_number": "828-687-5616",
"fax_number": "828-650-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 COOLIDGE ST",
"address_2": "SUITE 4",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377434672",
"telephone_number": "423-636-8891",
"fax_number": "423-636-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "LEON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD0000004336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30850711",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080139991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4147640",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE RIVER V",
"identifier": "TN0100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "3123351",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.