Organization Active NPI

Tennessee Valley Pediatric Surgery

  • Children's Hospital
  • Huntsville, AL
National Provider Identifier
1225140486
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
PA448 Issued in AL
Legal business name
TENNESSEE VALLEY PEDIATRIC SURGERY
Practice address
420 Lowell Drive
Suite 401
Huntsville, AL 35801
Phone
(256) 265-1800
Fax
(256) 265-1801
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Mrs. Tara Michelle Sandlin, P.A.-C
Title
Physician Assistant
Phone
(256) 265-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X PA448 AL Primary

Addresses

Primary practice location

420 Lowell Drive
Suite 401
Huntsville, AL 35801

Mailing address

420 Lowell Drive
Suite 401
Huntsville, AL 35801
Phone (256) 265-1800

National Provider Directory

National Provider Directory
Tax ID family
Steadman McPeters2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1225140486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LOWELL DRIVE",
            "address_2": "SUITE 401",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-265-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DRIVE",
            "address_2": "SUITE 401",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-265-1800",
            "fax_number": "256-265-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY PEDIATRIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "256-265-1800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.A.-C"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "AL",
            "license": "PA448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.