Active NPI
Synergy Medical Associates, PLLC
- Primary Care Clinic/Center
- Crossville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SYNERGY MEDICAL ASSOCIATES, PLLC
- Practice address
- 57 W Adams St
Crossville, TN 38555-4836 - Phone
- (931) 250-5433
- Fax
- (931) 250-5434
- NPI assigned
- Dec 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanna Gibbs
- Title
- Owner
- Phone
- (931) 250-5433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
57 W Adams St
Crossville, TN 38555-4836
Mailing address
57 W Adams St
Crossville, TN 38555-4836
Phone (931) 250-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2129791 | Synergy Medical Associates, PLLC | Certificate of waiver | Apr 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
88 Taylor Ave
Crossville, TN 38555
Phone (931) 250-5433
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Crossville, TN
- NPI 1558372862
-
- Medical Physician Assistant
- Crossville, TN
- NPI 1982997714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703808000000",
"number": "1083159966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W ADAMS ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385554836",
"telephone_number": "931-250-5433",
"fax_number": "931-250-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W ADAMS ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385554836",
"telephone_number": "931-250-5433",
"fax_number": "931-250-5434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY MEDICAL ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-30",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "JOANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-250-5433"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 29, 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.