Organization Active NPI

Jon Alan Simpson

  • Orthopaedic Surgery Physician
  • Crossville, TN
National Provider Identifier
1033313945
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JON ALAN SIMPSON
Doing business as
Cumberland Orthopaedics
Practice address
118 Brown Ave
Ste 103
Crossville, TN 38555-7739
Phone
(931) 484-8861
Fax
(931) 456-1319
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Gina Rae Leary
Title
Financial Officer
Phone
(931) 484-8861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

118 Brown Ave
Ste 103
Crossville, TN 38555-7739

Mailing address

118 Brown Ave
Ste 103
Crossville, TN 38555-7739
Phone (931) 484-8861

Other identifiers 2

IdentifierTypeStateIssuer
3106523OtherTNBCBS
3729283MedicaidTN

Other names 1

  • Cumberland Orthopaedics Doing business as

National Provider Directory

National Provider Directory

Locations

645 S Main St
Ste 104
Crossville, TN 38555
Phone (615) 484-8861

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1033313945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BROWN AVE",
            "address_2": "STE 103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557739",
            "telephone_number": "931-484-8861",
            "fax_number": "931-456-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BROWN AVE",
            "address_2": "STE 103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557739",
            "telephone_number": "931-484-8861",
            "fax_number": "931-456-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON ALAN SIMPSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "931-484-8861"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3106523",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729283",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.