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

Upper Cumberland Orthopedic Surgery, PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1184610859

Upper Cumberland Orthopedic Surgery, PC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Cookeville, Tennessee. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 S Willow Ave
Cookeville, TN 38501
Phone: (931) 526-9518
Fax: (931) 372-0087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1184610859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Easterly — Manager · (931) 372-7716
NPI enumeratedSeptember 27, 2005
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address105 S. Willow Ave, Cookeville, TN 38501

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