Active NPI
Physynergy, LLC
- Anesthesiology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 999999
- Legal business name
- PHYSYNERGY, LLC
- Practice address
- 1818 Albion St
Nashville, TN 37208-2918 - Phone
- (615) 341-4000
- Fax
- (256) 270-8937
- NPI assigned
- Aug 18, 2014
- 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
- Timothy Killen Adams Jr., MD
- Title
- President
- Phone
- (256) 469-7895
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 999999 | TN | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 999999 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 999999 | TN | |
| Anesthesiologist Assistant | 367H00000X | 999999 | TN |
Addresses
Primary practice location
1818 Albion St
Nashville, TN 37208-2918
Mailing address
PO Box 52404
Lafayette, LA 70505-2404
Phone (706) 860-2701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131127000891 | TN | Part B Supplier - Clinic/Group Practice | 6204081292 |
Receives reassigned benefits from 56 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Shelbyville, TN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Brentwood, TN
- NPI 1073795795
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1659816312
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1396894788
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1518090067
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cookeville, TN
- NPI 1215015706
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1508809575
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1053354019
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1508952979
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1952542714
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1649328162
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408320000000",
"number": "1194124941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52404",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705052404",
"telephone_number": "706-860-2701",
"fax_number": "706-860-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 ALBION ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372082918",
"telephone_number": "615-341-4000",
"fax_number": "256-270-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSYNERGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "KILLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-469-7895",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "TN",
"license": "999999",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "999999",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "999999",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiologist Assistant",
"state": "TN",
"license": "999999",
"primary": false
}
],
"identifiers": [],
"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 Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.