COOKEVILLE MEDICAL CENTER
NPI 1013055912
Family Medicine in Cookeville, TN

Active since February 02, 2007CLIA Certified · 2 labs
225 N WILLOW AVE, COOKEVILLE, TN 38501(931) 528-8899(866) 813-8531 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 18, 2024, Apr 10, 2024, Apr 7, 2024 and 1 more (4 updates tracked since 2019).

About Cookeville Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOKEVILLE MEDICAL CENTER (NPI 1013055912) is a healthcare organization registered as a family medicine in Cookeville, Tennessee and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 8, 2027, maintains 5 additional practice locations, and lists Pushpendra K Jain, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013055912
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOKEVILLE MEDICAL CENTER PC
Location Address225 N WILLOW AVECookeville, TN 38501-2335
Mailing Address225 N Willow AveCookeville, TN 38501-2335 · (931) 528-8899 · Fax (866) 813-8531
Fax(866) 813-8531
Organization SubpartNo
Authorized OfficialPushpendra K JainCeo · (931) 528-8899
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJune 18, 20244 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
NPI 1013055912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
225 N WILLOW AVE, Cookeville, TN 38501

Other Names 1

Doing Business AsCookeville Medical Center

Secondary Practice Locations 5

Location 1820 N Main StCrossville, TN 38555-4024 · Phone (931) 250-5230 · Fax (833) 314-0425
Location 2207 E Bockman WaySparta, TN 38583-2041 · Phone (931) 836-6461 · Fax (833) 623-1827
Location 3319 Broad StBaxter, TN 38544-5117 · Phone (931) 858-2116 · Fax (833) 807-0129
Location 42546 Windle Community RdCookeville, TN 38506-7941 · Phone (931) 498-4880
Location 5402 E Gore AveGainesboro, TN 38562-9367 · Phone (931) 268-6800 · Fax (855) 736-3491

Other Identifiers 1

Medicaid3709492TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0923891
Facility Type
Physician Office
Certificate Effective Date
July 09, 2025
Certificate Expiration Date
July 08, 2027
Laboratory Director
DR. PUSHPENDRA K. JAIN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Cookeville Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Nurse Practitioner
225 N WILLOW AVE
COOKEVILLE, TN 38501
Internal Medicine
225 N WILLOW AVE
COOKEVILLE, TN 38501
Psychiatry & Neurology (Psychiatry)
225 N WILLOW AVE, STE. 1
COOKEVILLE, TN 38501
Clinic/Center (Urgent Care)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Family Medicine
225 N WILLOW AVE
COOKEVILLE, TN 38501
Clinic/Center (Rural Health)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Podiatrist (Foot & Ankle Surgery)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Durable Medical Equipment & Medical Supplies
225 N WILLOW AVE
COOKEVILLE, TN 38501
Student in an Organized Health Care Education/Training Program
225 N WILLOW AVE
COOKEVILLE, TN 38501
Pharmacy
225 N WILLOW AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Counselor (Mental Health)
225 N WILLOW AVE
COOKEVILLE, TN 38501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013055912, enumerated as an "organization" on February 02, 2007.

The provider is located at 225 N WILLOW AVE COOKEVILLE, TN 38501 and the phone number is (931) 528-8899.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.