Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PUTNAM COUNTY PEDIATRICS, PLC
NPI 1215054754
Pediatrics in Cookeville, TN

Active since March 22, 2007CLIA Certified · 2 labs
758 S WILLOW AVE, COOKEVILLE, TN 38501(931) 526-6173(931) 526-5084 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Sep 24, 2026 (2 updates tracked since 2026).

About Putnam County Pediatrics, Plc NPPES

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

PUTNAM COUNTY PEDIATRICS, PLC (NPI 1215054754) is a healthcare organization registered as a pediatrics in Cookeville, Tennessee and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Chrystal Giles, Compliance Office, as its authorized official.

NPPES Registry Identity

NPI1215054754
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePUTNAM COUNTY PEDIATRICS, PLC
Location Address758 S WILLOW AVECookeville, TN 38501-3840
Mailing Address758 S Willow AveCookeville, TN 38501-3840 · (931) 526-6173 · Fax (931) 526-5084
Fax(931) 526-5084
Organization SubpartNo
Authorized OfficialChrystal GilesCompliance Office · (727) 239-9711
Enumeration DateMarch 22, 2007
Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1215054754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
758 S WILLOW AVE, Cookeville, TN 38501

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Putnam County Pediatrics, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Putnam County Pediatrics, Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1972508703
758 SOUTH WILLOW AVENUE
Cookeville, TN 38501
(931) 526-6173
✔ PECOSSame address

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 Waiver 44D0316153

Putnam County Pediatrics, Plc Dba Kids Kare Pediatrics · Cookeville, TN
Active · expires Jan 23, 2027
CLIA Number44D0316153
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Christopher D. Climaco
Laboratory Phone(931) 526-6173
Laboratory LocationPutnam County Pediatrics, Plc Dba Kids Kare Pediatrics758 S Willow Ave, Cookeville, TN 38501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2176165

Putnam County · Cookeville, TN
Active · expires Dec 9, 2027
CLIA Number44D2176165
Laboratory TypeCounty Jail
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorDr. Johnny Bates
Laboratory Phone(205) 437-1512
Laboratory LocationPutnam County421 East Spring Street, Cookeville, TN 38501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Putnam County Pediatrics, Plc's NPI number?

The NPI number for Putnam County Pediatrics, Plc is 1215054754. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Putnam County Pediatrics, Plc located?

Putnam County Pediatrics, Plc is located at 758 S Willow Ave, Cookeville, TN 38501. The listed phone number is (931) 526-6173.

What is Putnam County Pediatrics, Plc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Putnam County Pediatrics, Plc enrolled in Medicare?

Yes. Putnam County Pediatrics, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Putnam County Pediatrics, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Putnam County Pediatrics, Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Putnam County Pediatrics, Plc 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 Putnam County Pediatrics, Plc accept?

Health plans from Medica list Putnam County Pediatrics, Plc 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 Putnam County Pediatrics, Plc was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.