MERCY CLINIC, INC
NPI 1710109962
Internal Medicine in Cookeville, TN

Q: What is Mercy Clinic, Inc's NPI number?

The NPI number for Mercy Clinic, Inc is 1710109962. It was assigned to this organization in the NPPES registry on May 3, 2007.

Q: What is Mercy Clinic, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mercy Clinic, Inc 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 5 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.

Active since May 03, 2007CLIA 44D0980737 · Waiver

315 N WASHINGTON AVE, SUITE 109, COOKEVILLE, TN 38501(931) 372-8668 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mercy Clinic, Inc NPPES

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

MERCY CLINIC, INC (NPI 1710109962) is a healthcare organization registered as an internal medicine in Cookeville, Tennessee and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Rexford Yao Agbenohevi, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1710109962

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMERCY CLINIC, INC

Location Address315 N WASHINGTON AVE, SUITE 109Cookeville, TN 38501-2603

Mailing Address315 N Washington Ave, Suite 109Cookeville, TN 38501-2603 · (931) 372-8668

Phone(931) 372-8668

Organization SubpartNo

Authorized OfficialRexford Yao AgbenoheviPresident And Ceo · (931) 372-8668

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1710109962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 34431

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

315 N WASHINGTON AVE, Cookeville, TN 38501

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Other Identifiers 2

Other4114708TN · Blue Cross Blue Shield

Medicaid3855768TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 Waiver 44D0980737

Mercy Clinic Inc · Cookeville, TN

Active · expires Nov 30, 2026

CLIA Number44D0980737

Laboratory TypePhysician Office

Certificate Effective DateDecember 1, 2024

Certificate Expiration DateNovember 30, 2026

Laboratory DirectorRexford Y. Agbenohevi MD

Laboratory Phone(931) 372-8668

Laboratory LocationMercy Clinic Inc315 N Washington Avenue Suite 109, 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.

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.

DR. THUY T NGO M.D.

Specialist

315 N WASHINGTON AVE, SUITE 201
COOKEVILLE, TN 38501

Putnam County (931) 528-5633

DR. TONEY BRITTON HUDSON M.D.

Internal Medicine

315 N WASHINGTON AVE, STE 165
COOKEVILLE, TN 38501

Putnam County (931) 526-1604

WILLIAM RICE ATC

Specialist/Technologist (Athletic Trainer)

315 N WASHINGTON AVE
COOKEVILLE, TN 38501

Putnam County (931) 854-1203

JOYCE HEALTHCARE

Nurse Practitioner (Family)

315 N WASHINGTON AVE, STE 102
COOKEVILLE, TN 38501

Putnam County (931) 528-5273

DR. COLIN GARRETT SMITH D.O.

Family Medicine

315 N WASHINGTON AVE, SUITE 265
COOKEVILLE, TN 38501

Putnam County (931) 854-9432

MS. RHONDA JANE MARCUM APRN, FNP-BC

Nurse Practitioner (Family)

315 N WASHINGTON AVE, SUITE 210
COOKEVILLE, TN 38501

Putnam County (931) 854-9261

RIDDLE FAMILY CARE

Family Medicine

315 N WASHINGTON AVE, SUITE 230
COOKEVILLE, TN 38501

Putnam County (931) 520-8457

JAMES SCOTT BREWER

Physical Therapist

315 N WASHINGTON AVE, 240
COOKEVILLE, TN 38501

Putnam County (615) 591-6590

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 Mercy Clinic, Inc's NPI number?

The NPI number for Mercy Clinic, Inc is 1710109962. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Mercy Clinic, Inc located?

Mercy Clinic, Inc is located at 315 N Washington Ave Suite 109, Cookeville, TN 38501. The listed phone number is (931) 372-8668.

What is Mercy Clinic, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mercy Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0980737) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Clinic, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mercy Clinic, Inc 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 Mercy Clinic, Inc 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 5 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.