NPIMap

Organization Active NPI

Tennessee Orthopaedic Alliance PA

Doing business as Mid Tennessee Bone and Joint a Div of TOA

  • Orthopaedic Surgery Physician
  • Columbia, TN
National Provider Identifier
1033706197
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TENNESSEE ORTHOPAEDIC ALLIANCE PA
Doing business as
Mid Tennessee Bone and Joint a Div of TOA
Practice address
1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754
Phone
(931) 381-2663
Fax
(931) 490-1369
NPI assigned
Dec 23, 2020
Last updated
Oct 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Authorized official

Name
Ashley McSwain
Title
Credentialing Specialist
Phone
(865) 243-8183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 243-8183

Other identifiers 2

IdentifierTypeStateIssuer
3372041MedicaidTN
0406260038OtherTNCEDI

Other names 1

  • Mid Tennessee Bone and Joint a Div of TOA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210609001333 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5193625069 Practice locations: Columbia, TN

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

National Provider Directory

National Provider Directory
Tax ID family
TN Ortho Alliance34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696723200000",
    "number": "1033706197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-243-8183",
            "fax_number": "865-692-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N JAMES M CAMPBELL BLVD STE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-381-2663",
            "fax_number": "931-490-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ORTHOPAEDIC ALLIANCE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A",
        "authorized_official_last_name": "MCSWAIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "865-243-8183"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372041",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CEDI",
            "identifier": "0406260038",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Tennessee Bone and Joint a Div of TOA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.