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Cumberland Pediatric Associates PC

Primary Care Clinic/Center in Lebanon, TN · enumerated 2007 · authorized official Charles Jordan, Physician.

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

National Provider Identifier

1104964576

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Registry record

Entity type Organization (Type 2)
Legal business name Cumberland Pediatric Associates PC
Practice address 1029 W Main St, Suite M, Lebanon, TN, 37087
Phone (615) 453-1252
Fax (615) 453-1286
Enumeration date Feb 1, 2007
Last updated in NPPES Mar 16, 2025

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Charles Jordan
Title Physician
Phone (615) 453-1252

Other identifiers

Identifier Type State Issuer
3713897 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.

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Frequently asked questions

What is the NPI number for Cumberland Pediatric Associates PC?
The NPI for Cumberland Pediatric Associates PC is 1104964576, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Cumberland Pediatric Associates PC?
NPPES lists Charles Jordan (Physician) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-16.