Cumberland Pediatric Associates PC
NPI 1104964576 · Primary Care Clinic/Center · Lebanon, TN
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cumberland Pediatric Associates PC is a Primary Care Clinic/Center organization in Lebanon, TN (NPI 1104964576).
Provider details
- NPI number
- 1104964576
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Jordan, Physician(615) 453-1252
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 8 New Middleton HwyGordonsville, TN 38563-6603Phone: (615) 683-4200Fax: (615) 683-4207
- 333 Mcmurry Blvd EHartsville, TN 37074-1215Phone: (615) 549-7737Fax: (615) 549-7734
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2025-03-16
- Certified
- 2025-03-16
Frequently asked questions
- What is Cumberland Pediatric Associates PC's NPI number?
- Cumberland Pediatric Associates PC's National Provider Identifier (NPI) is 1104964576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cumberland Pediatric Associates PC?
- Cumberland Pediatric Associates PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cumberland Pediatric Associates PC located?
- Cumberland Pediatric Associates PC's practice location on file with NPPES is 1029 W Main St, Lebanon, TN 37087-3351.
- What is Cumberland Pediatric Associates PC's phone number?
- The practice phone number listed in the NPPES registry for Cumberland Pediatric Associates PC is (615) 453-1252.
- Does Cumberland Pediatric Associates PC accept Medicare?
- Cumberland Pediatric Associates PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cumberland Pediatric Associates PC?
- The authorized official listed on Cumberland Pediatric Associates PC's NPPES record is Charles Jordan, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cumberland Pediatric Associates PC's NPI active?
- Yes — Cumberland Pediatric Associates PC's NPI (1104964576) is active in the NPPES registry as of the last update on 2025-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.