Individual provider Active NPI

Cyrus Ghavam, MD

  • Orthopaedic Surgery of the Spine Physician
  • Dickson, TN
National Provider Identifier
1023063989
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
49165 Issued in TN
Practice address
127 Crestview Park Dr Ste 209
Dickson, TN 37055-2856
Phone
(615) 446-1308
Fax
(615) 441-4505
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD61000908 WA
Orthopaedic Surgery of the Spine Physician 207XS0117X 14668 AL
Orthopaedic Surgery of the Spine Physician 207XS0117X 49165 TN Primary

Addresses

Primary practice location

127 Crestview Park Dr Ste 209
Dickson, TN 37055-2856

Mailing address

127 Crestview Park Dr Ste 209
Dickson, TN 37055-2856
Phone (615) 446-5121

Other practice location 1

670 Glades Rd Ste 200
Boca Raton, FL 33431-6464
Phone (561) 495-9511

Other practice location 2

16259 Sylvester Rd SW Ste 301
Burien, WA 98166-3059
Phone (206) 965-2710

Other practice location 3

11135 S Jog Rd Ste 5
Boynton Beach, FL 33437-1817
Phone (561) 495-9511

Other practice location 4

927 Franklin St
Huntsville, AL 35801
Phone (256) 539-2728

Other identifiers 5

IdentifierTypeStateIssuer
51535248OtherALBCBS
P00338937OtherALRAILROAD MEDICARE
2149403MedicaidWA
009937579MedicaidAL
4520495OtherALAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cghavam584923@fhsce.catholichealth.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151228001444 TN Practitioner - Orthopedic Surgery 0345206900 Reassigns benefits to 1 organization
I20180309001438 OR Practitioner - Orthopedic Surgery 0345206900 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Miami, LM Miller School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurospine GroupGroup PAC ID 7719221068, 4 clinicians

Practice addresses (Care Compare)

74 B Centennial Loop
Suite 300
Eugene, OR 97401-7925
Phone (541) 393-0925

Hospital & facility affiliations

  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion83
Laminectomy or laminotomy (partial removal of spine bones)18
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14668ALMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Medical Associates PC Current Accepting new patients
Pain Care Specialists of Oregon, LLC CurrentSince Mar 1, 2019 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Feb 15, 2019 Accepting new patients
Silverton Health CurrentSince Feb 15, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
HH Health System - the Orthopaedic Center, LLC Orthopaedic Surgery PastSince Aug 13, 2023 Accepting new patients

Locations

2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

127 Crestview Park Dr
Ste 209
Dickson, TN 37055

127 Crestview Park Dr
Dickson, TN 37055
Phone (615) 441-4478

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: cghavam584923@fhsce.catholichealth.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDGJBD/Endpoint/IDGJBD
  • Direct secure messaging: cyrus.ghavam.1@28125.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJEDD/Endpoint/CAJEDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CACHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFCCDA/Endpoint/HFCCDA

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1023063989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR STE 209",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552856",
            "telephone_number": "615-446-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR STE 209",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552856",
            "telephone_number": "615-446-1308",
            "fax_number": "615-441-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Glades Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316464",
            "country_code": "US",
            "telephone_number": "561-495-9511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16259 Sylvester Rd SW Ste 301",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663059",
            "country_code": "US",
            "telephone_number": "206-965-2710",
            "fax_number": "253-864-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11135 S Jog Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334371817",
            "country_code": "US",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "35801",
            "country_code": "US",
            "telephone_number": "256-539-2728",
            "fax_number": "256-428-3423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAVAM",
        "first_name": "CYRUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD61000908",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AL",
            "license": "14668",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": "49165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51535248",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00338937",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2149403",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937579",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4520495",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cghavam584923@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "16259 Sylvester Rd SW Ste 301",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981663059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.