UPPER CUMBERLAND SURGICAL ASSOCIATE NPI 1821086505

NPI Information

  • NPI: 1821086505
  • Provider Name: UPPER CUMBERLAND SURGICAL ASSOCIATE
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: VAUGHN N. BARNARD, GEORGE IVEY, III, DALE DOUGLAS, KENNA WILLIAMS
  • CLIA Number: 44D2313190
  • Address: 340 N CEDAR AVE
    COOKEVILLE, TN
    ZIP 38501
  • Phone: (931) 528-6496

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NPI Details

UPPER CUMBERLAND SURGICAL ASSOCIATE is a surgery in Cookeville, TN. The provider is 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. UPPER CUMBERLAND SURGICAL ASSOCIATE NPI is 1821086505. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vaughn N. Barnard, George Ivey, Iii, Dale Douglas, Kenna Williams.

The provider's business location address is:

340 N CEDAR AVE
COOKEVILLE, TN
ZIP 38501-421
Phone: (931) 528-6496
Fax: (931) 526-1878

The provider's authorized official is Vaughn N. Barnard .
The authorized official title is Corporate Secretary and has the following contact phone number (931) 528-6496.

The CLIA number assigned to this NPI record is 44D2313190 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 6/28/2010.

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
1208600000XSurgeryMD 7769TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13705964MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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: 11/21/2025

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