Active NPI
Mid-South Surgery Associates, PLLC
- Surgery Physician
- Jackson, TN
National Provider Identifier
1285679076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MID-SOUTH SURGERY ASSOCIATES, PLLC
- Practice address
- 686 W Forest Ave
Jackson, TN 38301-3940 - Phone
- (731) 660-8759
- Fax
- (731) 660-8739
- NPI assigned
- Jun 17, 2006
- 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
- Herbert L Sutton, M.D.
- Title
- Owner
- Phone
- (731) 421-4368
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Surgical Critical Care Physician | 2086S0102X | |||
| Trauma Surgery Physician | 2086S0127X |
Addresses
Primary practice location
686 W Forest Ave
Jackson, TN 38301-3940
Mailing address
PO Box 3788
Jackson, TN 38303-3788
Phone (731) 660-8759
National Provider Directory
National Provider DirectoryLocations
686 W Forest Ave
Jackson, TN 38301
Phone (731) 421-4368
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Winchester, VA
- NPI 1811964406
-
- Surgery Physician
- Pueblo, CO
- NPI 1457354763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1285679076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3788",
"city": "JACKSON",
"state": "TN",
"postal_code": "383033788",
"telephone_number": "731-660-8759",
"fax_number": "731-660-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 W FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013940",
"telephone_number": "731-660-8759",
"fax_number": "731-660-8739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-SOUTH SURGERY ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "HERBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-421-4368",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
- Mid South Retina Associates, LLC
- Mid-South Enhanced Cardiac Care PLLC
- Mid-South Hearing, LLC (Miracle-Ear Hearing Aid Center)
- Mid-South Lung Center PLC
- Mid-South Perinatal Associates PC
- Heather Middleton
- Shaneka Nicole Midgett, CASE MANAGER
- Midsouth Interventional Pain Institute, LLC
- Midsouth Plastic Surgery PLLC (Midsouth Plastic Surgery)
- Leah Marshalle Milam, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.