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1101 PRIMARY CARE, PLLC
NPI 1083074587
Family Medicine in Cookeville, TN

Active since February 26, 2016
1101 NEAL ST, COOKEVILLE, TN 38501(931) 528-7797 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2020, Feb 26, 2016 (2 updates tracked since 2016).

About 1101 Primary Care, Pllc NPPES

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

1101 PRIMARY CARE, PLLC (NPI 1083074587) is a healthcare organization registered as a family medicine in Cookeville, Tennessee and active in the NPI registry since February 2016. The organization lists Carolyn Shirley, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1083074587
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name1101 PRIMARY CARE, PLLC
Location Address1101 NEAL STCookeville, TN 38501-0901
Mailing Address1101 Neal StCookeville, TN 38501-0901 · (931) 528-7797
Phone(931) 528-7797
Organization SubpartNo
Authorized OfficialCarolyn ShirleyPractice Manager · (931) 528-7797
Enumeration DateFebruary 26, 2016
Last NPPES UpdateFebruary 6, 20202 updates tracked since enumeration
✔ NPI 1083074587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1101 NEAL ST, Cookeville, TN 38501
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Other Identifiers 1

MedicaidQ020668TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LAURA JUNE YOUNG FAMILY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1101 NEAL ST
COOKEVILLE, TN 38501
Putnam County (931) 528-8593
DR. STEPHEN T MOORE D.O.
Psychiatry & Neurology (Psychiatry)
1101 NEAL ST, SUITE 102
COOKEVILLE, TN 38501
Putnam County (931) 526-1581
DAVID A FERRARO LPN
Licensed Practical Nurse
1101 NEAL ST
COOKEVILLE, TN 38501
Putnam County (931) 528-8593
CHELSEA DELK APRN
Nurse Practitioner (Family)
1101 NEAL ST
COOKEVILLE, TN 38501
Putnam County (931) 528-8593
KIMBERLY LEDBETTER
Licensed Practical Nurse
1101 NEAL ST
COOKEVILLE, TN 38501
Putnam County (931) 528-8593
CLAUDIA TALLEY LPN
Licensed Practical Nurse
1101 NEAL ST
COOKEVILLE, TN 38501
Putnam County (931) 854-9220
MARGAUX MAYNARD FNP
Nurse Practitioner (Family)
1101 NEAL ST
COOKEVILLE, TN 38501
Putnam County (931) 528-7797
ABIGAIL ROSE THORNTON FNP-C
Nurse Practitioner (Family)
1101 NEAL ST
COOKEVILLE, TN 38501
Putnam County (931) 528-7797

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 1101 Primary Care, PLLC's NPI number?

The NPI number for 1101 Primary Care, PLLC is 1083074587. It was assigned to this organization in the NPPES registry on February 26, 2016.

Where is 1101 Primary Care, PLLC located?

1101 Primary Care, PLLC is located at 1101 Neal St, Cookeville, TN 38501. The listed phone number is (931) 528-7797.

What is 1101 Primary Care, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 1101 Primary Care, PLLC was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.