NPIMap

Organization Active NPI

Tec North, LLC

Doing business as The Endoscopy Center North

  • Ambulatory Surgical Clinic/Center
  • Powell, TN
National Provider Identifier
1285692004
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
180 Issued in TN
Legal business name
TEC NORTH, LLC
Doing business as
The Endoscopy Center North
Practice address
629 Delozier Way
Suite 100
Powell, TN 37849
Phone
(865) 588-5121
Fax
(865) 588-9410
NPI assigned
May 2, 2006
Last updated
Jun 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Mr. Jeffrey Snodgrass
Title
President
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 180 TN Primary

Addresses

Primary practice location

629 Delozier Way
Suite 100
Powell, TN 37849

Mailing address

20 Burton Hills Blvd.
Suite 500, Attn: L&C
Nashville, TN 37215-6176
Phone (615) 665-1283

Other names 1

  • The Endoscopy Center North Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050725000417 TN Part B Supplier - Ambulatory Surgical Center 1658308390 Practice locations: Powell, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Endoscopy Center NorthCCN 44C0001146
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1039376Tec North LLC D/B/a629 Delozier Way, Powell, TN 37849Certificate of waiverApr 11, 2027

National Provider Directory

National Provider Directory

Locations

629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1285692004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD.",
            "address_2": "SUITE 500, ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156176",
            "telephone_number": "615-665-1283",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 DELOZIER WAY",
            "address_2": "SUITE 100",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "37849",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEC NORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Endoscopy Center North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Endoscopy Center North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.