UPPER CUMBERLAND MEDICAL ASSOCIATES, PLLC (NPI# 1134676091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134676091 |
| Entity Type | Organization |
| Organization Name | UPPER CUMBERLAND MEDICAL ASSOCIATES, PLLC |
| Practice Address |
225 N Willow Ave Cookeville TN 38501-2335 |
| Practice Telephone | 9315288899 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | PUSHPENDRA JAIN (CEO) |
| Authorized Official Telephone | 9315288899 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
225 N WILLOW AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275504631 | Karen D Sussman | Nurse Practitioner | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2006-02-01 |
| 1336686617 | Upper Cumberland Rural Health LLC | Pharmacy | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2017-01-25 |
| 1750769840 | Khoi Tan Nguyen Tran | Family Medicine | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2015-05-11 |
| 1225466758 | Edith Ruchelle Steele | Clinical Nurse Specialist | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2013-10-18 |
| 1508299066 | Scarlett Erica Garland | Registered Nurse | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2013-08-19 |
| 1194066282 | Hillary Mead Jones | Physician Assistant | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2013-03-14 |
| 1265709208 | Stones River Psychiatry Group Inc | Psychiatry & Neurology | 225 N Willow Ave, Ste. 1, Cookeville, TN 38501-2335 | 2011-11-18 |
| 1427331339 | Cynthia J Folyer | Nurse Practitioner | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2011-09-27 |
| 1962705400 | Linda G Quarles | Nurse Practitioner | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2010-12-06 |
| 1124258314 | Uzma Karim | Family Medicine | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2009-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.