1101 Primary Care, PLLC
NPI 1083074587ActiveOrganization· Family Medicine· Cookeville, TN
Family Medicine in Cookeville, Tennessee, registered in NPPES in February 2016. The authorized official on file is Carolyn Shirley, Practice Manager.
Overview
| NPI | 1083074587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2016 |
| Last updated in NPPES | Feb 6, 2020 |
| Certified by provider | Feb 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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