Organization Active NPI

Skyline Surgery Associates, P.L.C.

  • Surgery Physician
  • Nashville, TN
National Provider Identifier
1114010931
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
029893 Issued in TN
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

Updated by the provider on Sep 25, 2012

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3724554MedicaidTN
4080474OtherTNBCBS TN PROVIDER#

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.