NPIMap

Organization Active NPI

Nashville Plastic Surgery Institute, PLLC

  • Plastic Surgery Physician
  • Nashville, TN
National Provider Identifier
1093717845
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
13577 Issued in TN
Legal business name
NASHVILLE PLASTIC SURGERY INSTITUTE, PLLC
Practice address
2020 21St Ave S Ste 100
Nashville, TN 37212-4354
Phone
(615) 932-7700
Fax
(615) 932-7707
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Miss Kathy Byrd
Title
Office Manager
Phone
(615) 292-7708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 13577 TN Primary

Addresses

Primary practice location

2020 21St Ave S Ste 100
Nashville, TN 37212-4354

Mailing address

2020 21St Ave S Ste 100
Nashville, TN 37212-4354
Phone (615) 932-7700

Other names 1

  • Maxwell Aesthetics PLLC Former legal business name

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
44D2182981Nashville Plastic Surgery Institute2020 21St Ave South, Suite 100, Nashville, TN 37212Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

Locations

2020 21st Ave S
Ste 100
Nashville, TN 37212
Phone (615) 236-6686

2021 Church St
Ste 806
Nashville, TN 37203
Phone (615) 284-8200

2021 Church St
Ste 310
Nashville, TN 37203
Phone (615) 284-8200

Practitioners & affiliated clinicians

Practitioners 8

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": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1093717845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 21ST AVE S STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124354",
            "telephone_number": "615-932-7700",
            "fax_number": "615-932-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 21ST AVE S STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124354",
            "telephone_number": "615-932-7700",
            "fax_number": "615-932-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE PLASTIC SURGERY INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-292-7708",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "13577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxwell Aesthetics PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.