NPIMap

Organization Active NPI

Memphis Spine Center

  • Specialist
  • Germantown, TN
National Provider Identifier
1114953239
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MEMPHIS SPINE CENTER
Practice address
2120 Exeter Rd
Suite 130
Germantown, TN 38138-3922
Phone
(901) 507-2225
Fax
(901) 507-7890
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mrs. Susi Cooper
Title
Office Manager
Phone
(901) 507-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2120 Exeter Rd
Suite 130
Germantown, TN 38138-3922

Mailing address

2120 Exeter Rd
Suite 130
Germantown, TN 38138-3900
Phone (901) 507-2225

Other identifiers 2

IdentifierTypeStateIssuer
4092713OtherTNBLUE CROSS BLUE SHIELD
5305190001OtherTNCIGNA GOVERNMENT SERVICES

National Provider Directory

National Provider Directory

Locations

2120 Exeter Rd
Ste 130
Germantown, TN 38138
Phone (901) 507-2225

Practitioners & affiliated clinicians

Practitioners 6

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": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1114953239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EXETER RD",
            "address_2": "SUITE 130",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383900",
            "telephone_number": "901-507-2225",
            "fax_number": "901-507-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXETER RD",
            "address_2": "SUITE 130",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383922",
            "telephone_number": "901-507-2225",
            "fax_number": "901-507-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SUSI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-507-2225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4092713",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "5305190001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.