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UPPER CUMBERLAND OTOLARYNGOLOGY CLINIC, PC
NPI 1598821464
Specialist in Cookeville, TN

Active since December 28, 2006
100 W 4TH ST, SUITE 200, COOKEVILLE, TN 38501(931) 528-1575(931) 526-2962 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Upper Cumberland Otolaryngology Clinic, Pc NPPES

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

UPPER CUMBERLAND OTOLARYNGOLOGY CLINIC, PC (NPI 1598821464) is a healthcare organization registered as a specialist in Cookeville, Tennessee and active in the NPI registry since December 2006. The organization lists Cindy D Smith, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1598821464
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUPPER CUMBERLAND OTOLARYNGOLOGY CLINIC, PC
Location Address100 W 4TH ST, SUITE 200Cookeville, TN 38501-2448
Mailing Address100 W 4th St, Suite 200Cookeville, TN 38501-2448 · (931) 528-1575 · Fax (931) 526-2962
Phone(931) 528-1575
Fax(931) 526-2962
Organization SubpartNo
Authorized OfficialCindy D SmithBusiness Manager · (931) 520-5832
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1598821464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 W 4TH ST, Cookeville, TN 38501
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Other Identifiers 2

Medicaid3378945TN
Other2005687TN · Bcbs

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upper Cumberland Otolaryngology Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Upper Cumberland Otolaryngology Clinic, PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Samuel Floren, MD
Otolaryngology
NPI 1588293070
100 W 4TH ST
Cookeville, TN 38501
(608) 263-0315
✔ PECOS✔ Accepts MedicareSame address
Scott Keith, MD
Otolaryngology
NPI 1184669061
100 W 4TH ST SUITE 200
Cookeville, TN 38501
(931) 528-1575
✔ PECOSSame address
Grant Rohman, MD
Otolaryngology
NPI 1356542476
100 W 4TH ST STE 200
Cookeville, TN 38501
(931) 528-1575
✔ PECOS✔ Accepts MedicareSame address
Evan Sanford, M.D.
Otolaryngology
NPI 1871989350
100 W 4TH ST STE 200
Cookeville, TN 38501
(931) 528-1575
✔ PECOS✔ Accepts MedicareSame address
Kimberly Sanford
Qualified Audiologist
NPI 1831619683
100 W 4TH ST STE 200
Cookeville, TN 38501
(931) 528-1575
✔ Accepts MedicareSame address
Karen Brandt, MA, CCC-A
Qualified Audiologist
NPI 1972899722
100 W 4TH ST SUITE 210
Cookeville, TN 38501
(931) 526-8863
✔ Accepts MedicareSame address
Mark Kriskovich, M.D.
Otolaryngology
NPI 1619086626
100 W 4TH ST SUITE 200
Cookeville, TN 38501
(931) 528-1575
✔ PECOS✔ Accepts MedicareSame address
Anna Williams, APRN, FNP-C
Nurse Practitioner
NPI 1770009250
4120 BRADFORD HICKS DR
Livingston, TN 38570
(931) 823-5603
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Upper Cumberland Otolaryngology Clinic, PC's NPI number?

The NPI number for Upper Cumberland Otolaryngology Clinic, PC is 1598821464. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Upper Cumberland Otolaryngology Clinic, PC located?

Upper Cumberland Otolaryngology Clinic, PC is located at 100 W 4th St Suite 200, Cookeville, TN 38501. The listed phone number is (931) 528-1575.

What is Upper Cumberland Otolaryngology Clinic, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Upper Cumberland Otolaryngology Clinic, PC enrolled in Medicare?

Yes. Upper Cumberland Otolaryngology Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upper Cumberland Otolaryngology Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Upper Cumberland Otolaryngology Clinic, 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 Otolaryngology (5), Qualified Audiologist (2) and Nurse Practitioner (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Upper Cumberland Otolaryngology Clinic, PC was last updated on August 22, 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.