Active NPI
Terry L South, NP-C
- Pain Medicine Physician
- Maryville, TN
National Provider Identifier
1235404013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 16534
- Practice address
- 1103 East Lamar Alexander Parkway
BLDG 2, Ste 103
Maryville, TN 37804 - Phone
- (865) 285-9284
- Fax
- (888) 491-4597
- NPI assigned
- Mar 13, 2012
- Last updated
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16534 | TN | |
| Pain Medicine Physician | 208VP0000X | 16534 | TN | Primary |
Addresses
Primary practice location
1103 East Lamar Alexander Parkway
BLDG 2, Ste 103
Maryville, TN 37804
Mailing address
1103 East Lamar Alexander Parkway
BLDG 2, Ste 103
Maryville, TN 37804
Phone (865) 285-9284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16534 | TN | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine and Medical Associates of Roane County | Family | Past | Accepting new patients |
| Spinal Pain Solutions | Past | Accepting new patients | |
| Spinal Pain Center, PLLC | Family | Past | Accepting new patients |
| Spinal Pain Solutions PLLC | Past | Accepting new patients |
Interoperability endpoints
- terry.south@3879.securemail.prognocis.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Holistic Health & Pain Solutions
- Pain Clinic/Center
- Harriman, TN
- NPI 1992124127
-
- Family Nurse Practitioner
- Harriman, TN
- NPI 1992118939
-
- Family Medicine Physician
- Harriman, TN
- NPI 1891039244
-
dba Roane Healthcare Professionals
- Family Nurse Practitioner
- Harriman, TN
- NPI 1245546571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1235404013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 EAST LAMAR ALEXANDER PARKWAY",
"address_2": "BLDG 2, STE 103",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "37804",
"telephone_number": "865-285-9284",
"fax_number": "888-491-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 EAST LAMAR ALEXANDER PARKWAY",
"address_2": "BLDG 2, STE 103",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "37804",
"telephone_number": "865-285-9284",
"fax_number": "888-491-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTH",
"first_name": "TERRY",
"middle_name": "L",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-13",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "16534",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": "16534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.