Organization Active NPI

Tennessee Neurosurgery Solutions

  • Neurological Surgery Physician
  • Columbia, TN
National Provider Identifier
1063179356
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TENNESSEE NEUROSURGERY SOLUTIONS
Practice address
1707 Alpine Dr
Columbia, TN 38401-3562
Phone
(770) 405-5746
Fax
(933) 933-7645
NPI assigned
Nov 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Authorized official

Name
Jackie Coppedge
Title
Credentialing Persib
Phone
(931) 206-8631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1707 Alpine Dr
Columbia, TN 38401-3562

Mailing address

1707 Alpine Dr
Columbia, TN 38401-3562
Phone (931) 206-8631

National Provider Directory

National Provider Directory

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": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1063179356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 ALPINE DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013562",
            "telephone_number": "931-206-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ALPINE DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013562",
            "telephone_number": "770-405-5746",
            "fax_number": "933-933-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE NEUROSURGERY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "COPPEDGE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING PERSIB",
        "authorized_official_telephone_number": "931-206-8631"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2021; 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.