Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Upper Cumberland Surgical Associate

Organization Surgery Physician · NPI 1821086505

Upper Cumberland Surgical Associate provides Surgery Physician services in Cookeville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005

Practice location Address checks out

340 N Cedar Ave
Cookeville, TN 38501-2421 Not confirmed with CMS for 16 years — call before visiting
Phone: (931) 528-6496
Fax: (931) 526-1878
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD 7769 (TN)

Record details

NPI number1821086505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vaughn Barnard — Corporate Secretary · (931) 528-6496
Other names Vaughn N. Barnard, George Ivey, Iii, Dale Douglas, Kenna Williams
NPI enumeratedOctober 7, 2005
Last updated in NPPESJune 28, 2010
Mailing address340 N Cedar Ave, Cookeville, TN 38501-2421

Other providers in Cookeville