Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1101 Primary Care, PLLC

Organization Family Medicine Physician · NPI 1083074587

1101 Primary Care, PLLC is a Family Medicine Physician in Cookeville, Tennessee. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Neal St
Cookeville, TN 38501-0901
Phone: (931) 528-7797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1083074587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Shirley — Practice Manager · (931) 528-7797
NPI enumeratedFebruary 26, 2016
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020
Mailing address1101 Neal St, Cookeville, TN 38501-0901

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