NPIMap

Organization Active NPI

Pulliam Middle Tennessee Surgical Associates PLLC

  • Vascular Surgery Physician
  • Franklin, TN
National Provider Identifier
1104036722
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD15444 Issued in TX
Legal business name
PULLIAM MIDDLE TENNESSEE SURGICAL ASSOCIATES PLLC
Practice address
4601 Carothers Parkway
Suite 375
Franklin, TN 37067
Phone
(615) 791-4790
Fax
(615) 791-4531
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Brian White
Title
Administrator
Phone
(615) 369-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X MD15444 TX Primary

Addresses

Primary practice location

4601 Carothers Parkway
Suite 375
Franklin, TN 37067

Mailing address

808 Hatcher Lane
Columbia, TN 38401
Phone (931) 388-6256

Other names 1

  • Middle Tennessee Vascular Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1104036722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 HATCHER LANE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-388-6256",
            "fax_number": "615-791-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PARKWAY",
            "address_2": "SUITE 375",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-791-4790",
            "fax_number": "615-791-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULLIAM MIDDLE TENNESSEE SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-369-6336"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "MD15444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Tennessee Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.