1. Home
  2. Directory
  3. Tennessee
  4. Cookeville
  5. Internal Medicine
  6. NPI Profile

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

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: November 01, 2026.

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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Clinic, Inc 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 Mercy Clinic, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rexford Agbenohevi, MD
Emergency Medicine
NPI 1679592869
315 N WASHINGTON AVE SUITE 109
Cookeville, TN 38501
(931) 372-8668
✔ PECOS✔ Accepts MedicareSame 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

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.

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.

Is Mercy Clinic, Inc enrolled in Medicare?

Yes. Mercy Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Mercy Clinic, Inc. 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 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.

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 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.