Provider Demographics
NPI:1538173471
Name:COOKEVILLE PEDIATRIC ASSOCIATES, PLLC
Entity type:Organization
Organization Name:COOKEVILLE PEDIATRIC ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-265-5836
Mailing Address - Street 1:150 N WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2368
Mailing Address - Country:US
Mailing Address - Phone:931-528-1485
Mailing Address - Fax:931-526-4233
Practice Address - Street 1:150 N WILLOW AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2368
Practice Address - Country:US
Practice Address - Phone:931-528-1485
Practice Address - Fax:931-526-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN208000000X208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1043279987OtherROBERT TREECE NPI
TN1912962945OtherLLOYD D. FRANKLIN NPI
TN1124050687OtherMARY LOGHRY NPI
TN1508825902OtherJAMES BATSON NPI
TN1512646Medicaid
TN1205060415OtherKELLEY HENSON NPI
TN3898235Medicaid
TN1922232131OtherLISA HARTMAN NPI
TN5440738Medicaid
TN1609835644OtherLESLIE TREECE NPI
TN3897667Medicaid
TN1538173471OtherCOOKEVILLE PEDIATRICASSOCIATES NPI
TN1512648Medicaid
TN3001286Medicaid
TN5440812Medicaid
TN1517710Medicaid
TN1972783793OtherKASSIE BARNES NPI