Innovative Family Care, PLLC
NPI 1720345408ActiveOrganization· Family Medicine· Cookeville, TN
Family Medicine in Cookeville, Tennessee, registered in NPPES in April 2012. The authorized official on file is Kristen Wayne, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720345408 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2012 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 23607 | TN |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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