VAUGHN N. BARNARD, GEORGE IVEY, III, DALE DOUGLAS, KENNA WILLIAMS
NPI 1821086505
Surgery in Cookeville, TN

NPI Status: Active since October 07, 2005

Contact Information

340 N CEDAR AVE
COOKEVILLE, TN
ZIP 38501
Phone: (931) 528-6496
Fax: (931) 526-1878

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  • Organization
  • Surgery
  • CLIA Number: 44D2313190
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-27-2026

About VAUGHN N. BARNARD, GEORGE IVEY, III, DALE DOUGLAS, KENNA WILLIAMS

This page provides the complete NPI Profile along with additional information for Vaughn N. Barnard, George Ivey, Iii, Dale Douglas, Kenna Williams, a provider established in Cookeville, Tennessee operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1821086505 assigned on October 2005. The practitioner's primary taxonomy code is 208600000X with license number MD 7769 (TN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Vaughn N. Barnard, George Ivey, Iii, Dale Douglas, Kenna Williams. The authorized official of this NPI record is Dr. Vaughn N. Barnard Jr. M.d. (Corporate Secretary)

NPI
1821086505
Provider Legal Name
UPPER CUMBERLAND SURGICAL ASSOCIATE
Other Organization Name
VAUGHN N. BARNARD, GEORGE IVEY, III, DALE DOUGLAS, KENNA WILLIAMS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
340 N CEDAR AVE COOKEVILLE, TN 38501
Location Phone
(931) 528-6496
Location Fax
(931) 526-1878
Mailing Address
340 N CEDAR AVE COOKEVILLE, TN 38501
Mailing Phone
(931) 528-6496
Mailing Fax
(931) 526-1878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2005
Last Update Date
06-28-2010
Code Navigator

A surgeon like Vaughn N. Barnard, George Ivey, Iii, Dale Douglas, Kenna Williams treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
MD 7769
License State
TN
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VAUGHN N. BARNARD JR. M.D.

Authorized Official Title
CORPORATE SECRETARY
Authorized Official Phone
(931) 528-6496

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3705964MEDICARE ID-TYPE UNSPECIFIED (04)TN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2313190
Facility Type
Physician Office
Certificate Effective Date
October 28, 2024
Certificate Expiration Date
October 27, 2026
Laboratory Director
SUNANDA SACLANANDAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vaughn N. Barnard, George Ivey, Iii, Dale Douglas, Kenna Williams to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VAUGHN N. BARNARD, GEORGE IVEY, III, DALE DOUGLAS, KENNA WILLIAMS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821086505, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 0 + 8 + 1 + 2 + 5 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1821086505.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Physician Assistant
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Internal Medicine
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Physician Assistant
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Physician Assistant
340 N CEDAR AVE
COOKEVILLE, TN 38501
Physician Assistant (Medical)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Physician Assistant (Medical)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Physician Assistant (Surgical)
340 N CEDAR AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
340 N CEDAR AVE
COOKEVILLE, TN 38501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821086505, enumerated as an "organization" on October 07, 2005.

The provider is located at 340 N CEDAR AVE COOKEVILLE, TN 38501 and the phone number is (931) 528-6496.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.