Organization Active NPI

Springer Medical Associates

  • Rural Health Clinic/Center
  • Lexington, TN
National Provider Identifier
1235482084
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Ms. Alicia G Springer, NPNPI 1417928854
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q059056MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherProprietary
Enrollment address
16615 Highway 104 N
Ste B
Lexington, TN 38351-5753

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Alicia G Springer Individual 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.

Practitioners & affiliated clinicians

Practitioners 4

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": "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

Verify at the official NPI Registry.