Organization Active NPI

Tennessee Inpatient Medicine Associates, PLLC

  • Internal Medicine Physician
  • Cookeville, TN
National Provider Identifier
1922053750
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TENNESSEE INPATIENT MEDICINE ASSOCIATES, PLLC
Practice address
142 W 5TH St
Cookeville, TN 38501-1760
Phone
(931) 646-2770
Fax
(631) 525-1176
NPI assigned
May 23, 2006
Organization subpart
Yes
Parent organization
EAGLE HOSPITAL PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Robert W Young, MD
Title
President
Phone
(678) 397-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

142 W 5TH St
Cookeville, TN 38501-1760

Mailing address

PO Box 52007
Atlanta, GA 30355-0007
Phone (678) 397-0060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1922053750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52007",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303550007",
            "telephone_number": "678-397-0060",
            "fax_number": "678-397-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W 5TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011760",
            "telephone_number": "931-646-2770",
            "fax_number": "631-525-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE INPATIENT MEDICINE ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HOSPITAL PHYSICIANS",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-397-0060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 1, 2013; 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.