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NORTH WILLOW FAMILY MEDICINE LLC
NPI 1124111356
Clinic/Center - Primary Care in Cookeville, TN

Active since October 02, 2006
428 N WILLOW AVE, COOKEVILLE, TN 38501(931) 372-7788(031) 372-7799 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Willow Family Medicine Llc NPPES

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

NORTH WILLOW FAMILY MEDICINE LLC (NPI 1124111356) is a healthcare organization registered as a primary care in Cookeville, Tennessee and active in the NPI registry since October 2006. The organization lists Eric Gregory Fox, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124111356
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTH WILLOW FAMILY MEDICINE LLC
Location Address428 N WILLOW AVECookeville, TN 38501-2339
Mailing Address428 N Willow AveCookeville, TN 38501-2339 · (931) 372-7788 · Fax (031) 372-7799
Phone(931) 372-7788
Fax(031) 372-7799
Organization SubpartNo
Authorized OfficialEric Gregory FoxMedical Director · (931) 372-7788
Enumeration DateOctober 2, 2006
Last NPPES UpdateMay 2, 2012
✔ NPI 1124111356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
428 N WILLOW AVE, Cookeville, TN 38501
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Other Names 1

Doing Business AsNorth Willow Family Medicine Llc

Other Identifiers 4

Medicaid3883239TN
Other4071388TN · Bcbs
Medicare UPINE20771TN
Medicare ID-Type Unspecified3883239TN

Other Providers at the Same Location NPPES

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

DR. BRIAN S WAGGONER MD
Internal Medicine
428 N WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 854-9988

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 North Willow Family Medicine LLC's NPI number?

The NPI number for North Willow Family Medicine LLC is 1124111356. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is North Willow Family Medicine LLC located?

North Willow Family Medicine LLC is located at 428 N Willow Ave, Cookeville, TN 38501. The listed phone number is (931) 372-7788.

What is North Willow Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for North Willow Family Medicine LLC was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.