McCurdy & Ellis. PLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

MCCURDY & ELLIS. PLC

Practice address

1718 Memorial Dr
Clarksville, TN 37043-4542

Phone

(931) 552-4935

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

R. Terry Ellis

Title

Owner/Partner

Phone

(931) 552-4935

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245315621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434542",
            "telephone_number": "931-552-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434542",
            "telephone_number": "931-552-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCURDY & ELLIS. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "931-552-4935"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia McCray
• Sharnae Monique McCray, MSW
• Cameron Michael McCullough, PT, DPT, CSCS
• John Scott McCullough, M.D.
• Tameka McCullough
• Rebecca McCurdy, MSW
• Ted R McCurdy
• Carly McCutcheon
• Joshua Logan McDaniel, PA-C
• Jennifer McDonald-Beckley

• Oral and Maxillofacial Surgery Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.