Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

1101 Primary Care, Pllc

Family Medicine Physician in Cookeville, TN · enumerated 2016 · authorized official Carolyn Shirley, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083074587

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Registry record

Entity type Organization (Type 2)

Legal business name 1101 Primary Care, Pllc

Practice address 1101 Neal St, Cookeville, TN, 38501

Phone (931) 528-7797

Enumeration date Feb 26, 2016

Last updated in NPPES Feb 6, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Carolyn Shirley

Title Practice Manager

Phone (931) 528-7797

Other identifiers

Identifier	Type	State	Issuer
Q020668	Medicaid	TN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-02-06. Verify at npiregistry.cms.hhs.gov.

Where is 1101 Primary Care, Pllc located?

The practice location on file with NPPES is in Cookeville, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-06.