Active NPI
Spine Surgery Associates, P.C.
- Orthopaedic Surgery of the Spine Physician
- Chattanooga, TN
National Provider Identifier
1215087564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- SPINE SURGERY ASSOCIATES, P.C.
- Practice address
- 1736 Gunbarrel Rd
Chattanooga, TN 37421-3127 - Phone
- (423) 756-6623
- Fax
- (423) 531-9403
- NPI assigned
- Jan 11, 2007
- 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
- Ms. Jeanne H Weaver
- Title
- Office Manager
- Phone
- (423) 756-6623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Mailing address
1736 Gunbarrel Road
Chattanooga, TN 37421-3127
Phone (423) 756-6623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3385186 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Columbus, GA
- NPI 1952376337
-
- Family Medicine Physician
- Chattanooga, TN
- NPI 1134150527
-
- Orthopaedic Surgery of the Spine Physician
- Chattanooga, TN
- NPI 1740255116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1215087564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 GUNBARREL ROAD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213127",
"telephone_number": "423-756-6623",
"fax_number": "423-531-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 GUNBARREL RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213127",
"telephone_number": "423-756-6623",
"fax_number": "423-531-9403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE SURGERY ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "JEANNE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "423-756-6623",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3385186",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.