Active NPI
Springer Medical Associates
- Rural Health Clinic/Center
- Lexington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- SPRINGER MEDICAL ASSOCIATES
- Practice address
- 16615 Highway 104 N
B
Lexington, TN 38351-5752 - Phone
- (731) 968-0660
- Fax
- (731) 968-0007
- NPI assigned
- Oct 17, 2012
- 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. Alicia G Springer, NP
- Title
- Owner
- Phone
- (731) 968-0660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
16615 Highway 104 N
B
Lexington, TN 38351-5752
Mailing address
16615 Highway 104 N Ste B
Lexington, TN 38351-5753
Phone (731) 986-0660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q059056 | 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 |
|---|---|---|---|---|
| O20240415000752 | TN | Part A Provider - Rural Health Clinic | 0244679934 | Practice locations: Lexington, TN |
Rural health clinic certification: CCN 443970
- Legal name
- SPRINGER MEDICAL ASSOCIATES
- Doing business as
- SPRINGER MEDICAL ASSOCIATES
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 15, 2009
- Last certification
- Mar 20, 2024
- Ownership / control type
- 1A
- Organization structure
- Other
- Enrollment address
- 16615 Highway 104 N
Ste B
Lexington, TN 38351-5753
National Provider Directory
National Provider DirectoryLocations
16615 Highway 104 N
Ste B
Lexington, TN 38351
Phone (731) 968-0660
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Alicia G Springer | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | |
| Operational/Managerial Control | Jan 1, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Rural Health Clinic/Center
- Lexington, TN
- NPI 1417928854
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rural Health Clinic/Center
- Lexington, TN
- NPI 1417928854
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1710939301
-
- Family Medicine Physician
- Lexington, TN
- NPI 1861495152
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1558532440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1235482084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16615 HIGHWAY 104 N STE B",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383515753",
"telephone_number": "731-986-0660",
"fax_number": "731-968-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16615 HIGHWAY 104 N",
"address_2": "B",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383515752",
"telephone_number": "731-968-0660",
"fax_number": "731-968-0007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGER MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "SPRINGER",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-968-0660",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q059056",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.