Individual provider Active NPI

Christopher D Climaco, M.D.

  • Pediatrics Physician
  • Cookeville, TN
National Provider Identifier
1972508703
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD27239 Issued in TN
Practice address
758 South Willow Avenue
Cookeville, TN 38501
Phone
(931) 526-6173
Fax
(931) 526-5084
NPI assigned
Jun 17, 2005
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD27239 TN Primary

Addresses

Primary practice location

758 South Willow Avenue
Cookeville, TN 38501

Mailing address

758 South Willow Avenue
Cookeville, TN 38501
Phone (931) 526-6173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000040 TN Practitioner - Pediatric Medicine 2961455779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27239TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam County Pediatrics, PLC Pediatrics CurrentSince Jun 30, 2020 Accepting new patients

Locations

758 S Willow Ave
Cookeville, TN 38501
Phone (931) 526-6173

328 Antioch Pike
Nashville, TN 37211
Phone (615) 988-7810

Interoperability endpoints

  • Direct secure messaging: cclimaco@kidskare.opdirect.net

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1972508703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 SOUTH WILLOW AVENUE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-526-6173",
            "fax_number": "931-526-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 SOUTH WILLOW AVENUE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-526-6173",
            "fax_number": "931-526-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIMACO",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD27239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.