NPIMap

Organization Active NPI

Methodist Surgery Center Germantown LP

  • Ambulatory Surgical Clinic/Center
  • Germantown, TN
National Provider Identifier
1053381236
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000084 Issued in TN
Legal business name
METHODIST SURGERY CENTER GERMANTOWN LP
Practice address
1363 South Germantown Road
Germantown, TN 38138
Phone
(901) 624-6634
Fax
(901) 516-1755
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Miss Sherrye B Crone, RN
Title
Administrator
Phone
(901) 516-1716

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 084 TN
Ambulatory Surgical Clinic/Center 261QA1903X 0000000084 TN Primary

Addresses

Primary practice location

1363 South Germantown Road
Germantown, TN 38138

Mailing address

1363 South Germantown Road
Germantown, TN 38138
Phone (901) 624-6634

Other identifiers 2

IdentifierTypeStateIssuer
4900003520OtherTNRAILROAD MEDICARE
3075179OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091111000446 TN Part B Supplier - Ambulatory Surgical Center 6800934860 Practice locations: Germantown, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Methodist Surgery Center Germantown LPCCN 44C0001069
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0932124Methodist Germantown Surgery1363 South Germantown Road, Germantown, TN 38138Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1053381236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 SOUTH GERMANTOWN ROAD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-624-6634",
            "fax_number": "901-516-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 SOUTH GERMANTOWN ROAD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-624-6634",
            "fax_number": "901-516-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST SURGERY CENTER GERMANTOWN LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "CRONE",
        "authorized_official_first_name": "SHERRYE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-516-1716",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "084",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "4900003520",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3075179",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.