1. Home
  2. Directory
  3. Tennessee
  4. Cookeville
  5. Family Medicine
  6. NPI Profile

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: August 09, 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 2 active CLIA laboratory certificates, 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
Phone(931) 528-8899
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
Open in Google Maps ↗

Other Names 1

Doing Business AsCookeville Medical Center

Secondary Practice Locations 5

Location 12546 Windle Community RdCookeville, TN 38506-7941 · Phone (931) 498-4880
Location 2319 Broad StBaxter, TN 38544-5117 · Phone (931) 858-2116 · Fax (833) 807-0129
Location 3207 E Bockman WaySparta, TN 38583-2041 · Phone (931) 836-6461 · Fax (833) 623-1827
Location 4820 N Main StCrossville, TN 38555-4024 · Phone (931) 250-5230 · Fax (833) 314-0425
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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 44D0923891

Cookeville Medical Center, PLLC · Cookeville, TN
Active · expires Jul 8, 2027
CLIA Number44D0923891
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDr. Pushpendra K. Jain
Laboratory Phone(931) 528-8899
Laboratory LocationCookeville Medical Center, PLLC225 N Willow Ave, Suite 3, Cookeville, TN 38501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 44D2137663

Upper Cumberland Rural Health Clinic, PLLC Dba Cookeville Medical Clinic · Cookeville, TN
Active · expires Oct 1, 2027
CLIA Number44D2137663
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorDr. Jain Pushpendra
Laboratory Phone(931) 528-8899
Laboratory LocationUpper Cumberland Rural Health Clinic, PLLC Dba Cookeville Medical Clinic225 N Willow Ave Ste 3, Cookeville, TN 38501
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAPHETH F HARDING FNP
Nurse Practitioner
225 N WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 528-8899
UPPER CUMBERLAND MEDICAL ASSOCIATES, PLLC
Clinic/Center (Rural Health)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 528-8899
NATALIE CHAVI JAIN MPH, PA-S
Student in an Organized Health Care Education/Training Program
225 N WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 538-4466
STONES RIVER PSYCHIATRY GROUP INC
Psychiatry & Neurology (Psychiatry)
225 N WILLOW AVE, STE. 1
COOKEVILLE, TN 38501
Putnam County (931) 372-8700
MS. KAREN D SUSSMAN NP
Nurse Practitioner (Family)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 528-8899
KIRSTEN MAGGIE ASK LMSW
Social Worker
225 N WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 528-8899
UPPER CUMBERLAND RURAL HEALTH LLC
Pharmacy
225 N WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 284-4084
CYNTHIA J FOLYER FNP-BC, APN
Nurse Practitioner (Family)
225 N WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 528-8899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cookeville Medical Center PC's NPI number?

The NPI number for Cookeville Medical Center PC is 1013055912. It was assigned to this organization in the NPPES registry on February 2, 2007. The provider is doing business as Cookeville Medical Center.

Where is Cookeville Medical Center PC located?

Cookeville Medical Center PC is located at 225 N Willow Ave, Cookeville, TN 38501. The listed phone number is (931) 528-8899.

What is Cookeville Medical Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cookeville Medical Center PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cookeville Medical Center PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Cookeville Medical Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cookeville Medical Center PC was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.