Active NPI
Skyline Surgery Associates, P.L.C.
- Surgery Physician
- Nashville, TN
National Provider Identifier
1114010931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 029893
- Legal business name
- SKYLINE SURGERY ASSOCIATES, P.L.C.
- Practice address
- 3443 Dickerson Pike
Suite 270
Nashville, TN 37207-2519 - Phone
- (615) 612-0760
- Fax
- (615) 612-0640
- NPI assigned
- Oct 2, 2006
- 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
- Dr. Thomas Brelin Taylor Jr., M.D.
- Title
- Coo
- Phone
- (615) 612-0760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 029893 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike
Suite 270
Nashville, TN 37207-2519
Mailing address
3443 Dickerson Pike
Suite 270
Nashville, TN 37207-2519
Phone (615) 612-0760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3724554 | Medicaid | TN | |
| 4080474 | Other | TN | BCBS TN PROVIDER# |
National Provider Directory
National Provider DirectoryLocations
353 New Shackle Island Rd
Ste 241C
Hendersonville, TN 37075
Phone (615) 264-4743
2000 Church St
#G1
Nashville, TN 37236
Phone (615) 865-8036
491 Sage Rd N
Ste 400
White House, TN 37188
Phone (615) 675-0444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Tampa, FL
- NPI 1275628059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348531200000",
"number": "1114010931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "SUITE 270",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-612-0760",
"fax_number": "615-612-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "SUITE 270",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-612-0760",
"fax_number": "615-612-0640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLINE SURGERY ASSOCIATES, P.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2012-09-25",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "BRELIN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "615-612-0760",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TN",
"license": "029893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3724554",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN PROVIDER#",
"identifier": "4080474",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.