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COCKE COUNTY HMA LLC
NPI 1104515782
Nurse Anesthetist, Certified Registered in Newport, TN

Active since May 01, 2023CLIA 44D0711090 · Accreditation
435 2ND ST, NEWPORT, TN 37821(423) 625-2200(423) 625-2215 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cocke County Hma Llc NPPES

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

COCKE COUNTY HMA LLC (NPI 1104515782) is a healthcare organization registered as a nurse anesthetist, certified registered in Newport, Tennessee and active in the NPI registry since May 2023. The organization holds an CLIA Accreditation certificate valid through November 17, 2027 and lists Jennifer L Jackson, Senior Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1104515782
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameCOCKE COUNTY HMA LLC
Location Address435 2ND STNewport, TN 37821-3703
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 778-8515
Phone(423) 625-2200
Fax(423) 625-2215
Organization SubpartNo
Authorized OfficialJennifer L JacksonSenior Director Provider Enrollment · (615) 465-3334
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1104515782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedAnesthesiologyTaxonomy 207L00000X
435 2ND ST, Newport, TN 37821
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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

CLIA Laboratory Certificates CMS CLIA

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 Accreditation 44D0711090

Cocke County Hma, LLC D/B/A Tennova Healthcare- Newport Medical Center · Newport, TN
Active · expires Nov 17, 2027
CLIA Number44D0711090
Laboratory TypeHospital
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorDr. Vandana Kumar
Laboratory Phone(423) 625-2200
Laboratory LocationCocke County Hma, LLC D/B/A Tennova Healthcare- Newport Medical Center435 Second Street, Newport, TN 37821
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

MRS. KAITLIN PHILLIPS LAT, ATC
Neuromusculoskeletal Medicine, Sports Medicine
435 2ND ST
NEWPORT, TN 37821
Cocke County (865) 607-4910
RESOURCE ANESTHESIA EAST TENNESSEE INC
Nurse Anesthetist, Certified Registered
435 2ND ST
NEWPORT, TN 37821
Cocke County (423) 625-2200
MS. SARAH A HONAKER FNP
Nurse Practitioner (Family)
435 2ND ST
NEWPORT, TN 37821
Cocke County (629) 206-3254
BOJIDAR DOLAPTCHIEV M.D.
Family Medicine (Adult Medicine)
435 2ND ST, B
NEWPORT, TN 37821
Cocke County (423) 625-4515
DAVID SIMPSON PA-C
Physician Assistant
435 2ND ST
NEWPORT, TN 37821
Cocke County (423) 625-2200
MICHAEL FRANK CRNA
Nurse Anesthetist, Certified Registered
435 2ND ST
NEWPORT, TN 37821
Cocke County (423) 625-2200
COCKE PHYSICIAN SERVICES, PC
Hospitalist
435 2ND ST
NEWPORT, TN 37821
Cocke County (423) 625-2200
JANETTE DALTON FNP
Nurse Practitioner
435 2ND ST
NEWPORT, TN 37821
Cocke County (423) 625-2200

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 Cocke County Hma LLC's NPI number?

The NPI number for Cocke County Hma LLC is 1104515782. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Cocke County Hma LLC located?

Cocke County Hma LLC is located at 435 2nd St, Newport, TN 37821. The listed phone number is (423) 625-2200.

What is Cocke County Hma LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Cocke County Hma LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D0711090) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cocke County Hma LLC was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.