Organization Active NPI

Surgical Services of America, PC

  • Surgery Physician
  • Franklin, TN
National Provider Identifier
1275064057
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD0000025546 Issued in TN
Legal business name
SURGICAL SERVICES OF AMERICA, PC
Practice address
103 Forrest Crossing Blvd Ste 204
Franklin, TN 37064-5453
Phone
(615) 512-6136
Fax
(615) 591-5124
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dr. Bernard Lerris Burgess Jr., M.D.
Title
Medical Director
Phone
(615) 512-6136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD0000025546 TN Primary

Addresses

Primary practice location

103 Forrest Crossing Blvd Ste 204
Franklin, TN 37064-5453

Mailing address

103 Forrest Crossing Blvd Ste 204
Franklin, TN 37064-5453
Phone (615) 512-6136

National Provider Directory

National Provider Directory

Locations

103 Forrest Crossing Blvd
Ste 204
Franklin, TN 37064
Phone (615) 512-6136

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1275064057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FORREST CROSSING BLVD STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645453",
            "telephone_number": "615-512-6136",
            "fax_number": "615-591-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FORREST CROSSING BLVD STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645453",
            "telephone_number": "615-512-6136",
            "fax_number": "615-591-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SERVICES OF AMERICA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "LERRIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-512-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000025546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.