DIABETES & GERIATRICS SPECIALIST LLC NPI 1235271420

NPI Information

  • NPI: 1235271420
  • Provider Name: DIABETES & GERIATRICS SPECIALIST LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 44D1079355
  • Address: 146 S WILLOW AVE
    SUITE A
    COOKEVILLE, TN
    ZIP 38501
  • Phone: (931) 646-0880

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NPI Details

DIABETES & GERIATRICS SPECIALIST LLC is a medical specialty clinic center in Cookeville, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DIABETES & GERIATRICS SPECIALIST LLC NPI is 1235271420. The provider is registered as an organization entity type.

The provider's business location address is:

146 S WILLOW AVE
SUITE A
COOKEVILLE, TN
ZIP 38501-191
Phone: (931) 646-0880
Fax: (931) 646-0884

The provider's authorized official is Pardeep Kumar Sharma .
The authorized official title is Owner and has the following contact phone number (931) 646-0880.

The CLIA number assigned to this NPI record is 44D1079355 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty40259TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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