COOKEVILLE MEDICAL CENTER
NPI 1013055912
Family Medicine in Cookeville, TN
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
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 5
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cookeville Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Cookeville Medical Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNCertificate of Waiver 44D2137663
Upper Cumberland Rural Health Clinic, PLLC Dba Cookeville Medical Clinic · Cookeville, TNFrequently 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.
Is Cookeville Medical Center PC enrolled in Medicare?
Yes. Cookeville Medical Center PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cookeville Medical Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Cookeville Medical Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14), Family Practice (2) and General Practice (1). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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.
# Cookeville Medical Center · NPI 1013055912
Family Medicine organization in Cookeville, Tennessee. Organization record, active in the CMS NPPES registry since February 2, 2007.
## Identity
- **NPI:** 1013055912 (Entity type: Organization)
- **Enumerated:** February 2, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Cookeville Medical Center Pc
- **Organization subpart:** No
- **Authorized official:** Pushpendra Jain, CEO
## Practice location
- **Address:** 225 N WILLOW AVE, Cookeville, TN 38501-2335
- **Phone:** (931) 528-8899 · **Fax:** (866) 813-8531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (2), General Practice (1); 6 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2024
- **Other identifiers:** Medicaid 3709492 (TN)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013055912) · Data from the CMS NPPES public registry.