Sequatchie Valley Urology, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SEQUATCHIE VALLEY UROLOGY, LLC

Practice address

980 Highway 28
Suite 201
Jasper, TN 37347-3695

Phone

(423) 942-2555

Fax

(423) 942-2005

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Birmingham

Title

Director

Phone

(615) 373-7625

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225025653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28",
            "address_2": "SUITE 201",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473699",
            "telephone_number": "423-942-2555",
            "fax_number": "423-942-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28",
            "address_2": "SUITE 201",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473695",
            "telephone_number": "423-942-2555",
            "fax_number": "423-942-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUATCHIE VALLEY UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-373-7625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Sanford, M.D.
• Sarath B. Gangavarapu
• Nicole Scott, FNP-C
• Sequatchie Valley Dental Associates, PC
• Sequatchie Valley Urology LLC
• John Harrison Shea, DDS
• Adria Sherrill, APN
• Andrea Simmons, NP
• Southern Home Care Services, Inc.
• SP Acquisition Corp.

• Urology Physician in Jasper, TN
• Providers in Jasper, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.