Active NPI
Tennessee Orthopaedic Alliance PA
- Orthopaedic Surgery Physician
- Cookeville, TN
National Provider Identifier
1225204340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TENNESSEE ORTHOPAEDIC ALLIANCE PA
- Practice address
- 315 N Washington Ave Ste 204
Cookeville, TN 38501-2660 - Phone
- (615) 383-2693
- NPI assigned
- May 8, 2008
- 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
- Ashley McSwain
- Title
- Credentialing Specialist
- Phone
- (865) 243-8183
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
315 N Washington Ave Ste 204
Cookeville, TN 38501-2660
Mailing address
608 Norris Ave
Nashville, TN 37204-3708
Phone (615) 695-1432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3372041 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130621000374 | TN | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 5193625069 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cookeville, TN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Cookeville, TN
- NPI 1255866711
O20130621000374
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1225204340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NORRIS AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372043708",
"telephone_number": "615-695-1432",
"fax_number": "615-695-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N WASHINGTON AVE STE 204",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012660",
"telephone_number": "615-383-2693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE ORTHOPAEDIC ALLIANCE PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-08",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "MCSWAIN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "865-243-8183"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3372041",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
- Tennessee Health and Wellness
- Tennessee Heart PLLC
- Tennessee Inpatient Medicine Associates, PLLC
- Tennessee Limb and Brace LLC
- Tennessee Oncology PLLC
- Tennessee Orthopaedic Alliance, PA
- Tennessee Pediatric & Adolescent Center
- Tennessee Primary Care, LLC
- Tennessee Primary Care, LLC
- Tennessee Radiology Associates, PLLC (Columbia Diagnostic Imaging, PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.