Organization Active NPI

Cumberland Neurological and Spinal Surgery

  • Neurological Surgery Physician
  • Cookeville, TN
National Provider Identifier
1164585923
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
CUMBERLAND NEUROLOGICAL AND SPINAL SURGERY
Practice address
105 S Willow Ave
Suite 200
Cookeville, TN 38501-4667
Phone
(931) 372-7716
Fax
(931) 372-7717
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Paula A Fargason
Title
Office Manager
Phone
(931) 372-7716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

105 S Willow Ave
Suite 200
Cookeville, TN 38501-4667

Mailing address

105 S Willow Ave
Suite 200
Cookeville, TN 38501-4667
Phone (931) 372-7716

Other names 1

  • Tier 1 Neurosurgery Doing business as

National Provider Directory

National Provider Directory

Locations

105 S Willow Ave
Ste 200
Cookeville, TN 38501
Phone (931) 372-7716

145 W 4th St
Ste 201
Cookeville, TN 38501
Phone (931) 372-7716

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1164585923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S WILLOW AVE",
            "address_2": "SUITE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014667",
            "telephone_number": "931-372-7716",
            "fax_number": "931-372-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S WILLOW AVE",
            "address_2": "SUITE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014667",
            "telephone_number": "931-372-7716",
            "fax_number": "931-372-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND NEUROLOGICAL AND SPINAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "FARGASON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-372-7716"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tier 1 Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.