NPIMap

Organization Active NPI

CVC PLLC

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1053935437
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CVC PLLC
Practice address
58 Murray Guard Dr
Jackson, TN 38305-3661
Phone
(731) 513-5701
Fax
(877) 670-6150
NPI assigned
Jun 2, 2020
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Dr. Elliot Kurban, MDNPI 1679511026
Title
President
Phone
(731) 307-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

58 Murray Guard Dr
Jackson, TN 38305-3661

Mailing address

58 Murray Guard Dr
Jackson, TN 38305-3661
Phone (731) 513-5701

Other names 1

  • Cardiovascular Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200904001618 TN Part B Supplier - Clinic/Group Practice 7315364379 Receives reassigned benefits from 7 practitioners
Practice locations: Lexington, TN; Jackson, TN; Bartlett, TN; Dyersburg, TN

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
44D2205472CVC PLLC58 Murray Guard Dr, Jackson, TN 38305Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

2989 Kate Bond Rd
Bartlett, TN 38133

2996 Kate Bond Rd
Ste 2
Bartlett, TN 38133

2996 Kate Bond Rd
Ste 211
Bartlett, TN 38133
Phone (731) 307-8888

315 E Tickle St
Ste Ab
Dyersburg, TN 38024
Phone (731) 307-8888

Interoperability endpoints

  • Direct secure messaging: elliotkurban@cvcpllc.allscriptsdirect.net
  • Direct secure messaging: hollybunch@cvcpllc.allscriptsdirect.net
  • Direct secure messaging: jacquelinescott@cvcpllc.allscriptsdirect.net
  • Direct secure messaging: trenisnash@cvcpllc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 11

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": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1053935437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053661",
            "telephone_number": "731-513-5701",
            "fax_number": "877-670-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053661",
            "telephone_number": "731-513-5701",
            "fax_number": "877-670-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "KURBAN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-307-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cardiovascular Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.