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

Supriya Kohli, MD

Individual provider Neurology Physician · NPI 1194019570

Supriya Kohli, MD is a Neurology in Cookeville, Tennessee. Qualified in 2004, 22 years ago. Practices with Proactive Therapy, Inc, a 122-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
22
Licensed in
TN
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1 Medical Center Blvd Ste 103
Cookeville, TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Show map & directions

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

Additional practice locations (1)

  • 406 N Whitney Ave Ste 3, Cookeville, TN 38501-4243 — (931) 783-4901

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 52489 (TN)

Record details

NPI number1194019570
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2011
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address230 Lexington Green Cir, Ste 600, Lexington, KY 40503-3326

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Proactive Therapy, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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