Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cookeville Center for Pain Management PC

Organization Pain Medicine Physician · NPI 1215272547

Cookeville Center for Pain Management PC provides Pain Medicine Physician services in Cookeville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

580 S Jefferson Ave
Cookeville, TN 38501-4672 Not confirmed with CMS for 13 years — call before visiting
Phone: (931) 526-7104
Fax: (931) 526-7105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X (TN)
Pain Medicine Physician Taxonomy 208VP0000X (TN)

Record details

NPI number1215272547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Marks — Billing Manager · (931) 526-7104
NPI enumeratedNovember 27, 2012
Last updated in NPPESFebruary 20, 2013
Mailing addressPo Box 4129, Cookeville, TN 38502-4129

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