Individual provider Active NPI

Sydney Gabrielle Spurgeon, PA-C

  • Medical Physician Assistant
  • Lebanon, TN
National Provider Identifier
1306565437
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone
(615) 444-8262
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1411 W Baddour Pkwy
Lebanon, TN 37087-2513

Mailing address

634 Emory River Rd
Harriman, TN 37748-5005
Phone (865) 335-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524002726 TN Practitioner - Physician Assistant 9638535222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anova Medical Associates, PLCGroup PAC ID 8325372741, 130 clinicians

Practice addresses (Care Compare)

1156 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 989-1088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5167TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC CurrentSince Apr 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC CurrentSince Apr 1, 2024 Accepting new patients
Tennessee Oncology, PLLC CurrentSince Apr 22, 2024 Accepting new patients
Tennessee Oncology PLLC CurrentSince Apr 22, 2024 Accepting new patients
Tennessee Oncology,PLLC Past Accepting new patients

Locations

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

322 22nd Ave N
Ste 200
Nashville, TN 37203
Phone (615) 986-7600

Interoperability endpoints

  • Direct secure messaging: sspurgeon738617@direct.vumc.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1306565437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 EMORY RIVER RD",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377485005",
            "telephone_number": "865-335-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-444-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURGEON",
        "first_name": "SYDNEY",
        "middle_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.