Active NPI
Mid-South Surgeons, PLLC
- Surgery Physician
- Columbia, TN
National Provider Identifier
1316390685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MID-SOUTH SURGEONS, PLLC
- Practice address
- 1222 Trotwood Ave
Suite 211
Columbia, TN 38401-6436 - Phone
- (931) 380-3033
- Fax
- (931) 380-3944
- NPI assigned
- Jul 21, 2016
- Last updated
- Jul 21, 2016
- 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
- Kelly L Crosby, CMPE
- Title
- Practice Administrator
- Phone
- (931) 380-3033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1222 Trotwood Ave
Suite 211
Columbia, TN 38401-6436
Mailing address
1222 Trotwood Ave.
Suite 211
Columbia, TN 38401
Phone (931) 380-3033
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Columbia, TN
- NPI 1972584514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469059200000",
"number": "1316390685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 TROTWOOD AVE.",
"address_2": "SUITE 211",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-380-3033",
"fax_number": "931-380-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 TROTWOOD AVE",
"address_2": "SUITE 211",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016436",
"telephone_number": "931-380-3033",
"fax_number": "931-380-3944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-SOUTH SURGEONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-21",
"last_updated": "2016-07-21",
"status": "A",
"authorized_official_last_name": "CROSBY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "931-380-3033",
"authorized_official_credential": "CMPE"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
- Mid-Cumberland Endodontics
- Mid-South Family Therapy PLLC
- Mid-South Gastroenterology Assoc PC
- Mid-South Gastroenterology Assoc PC
- Mid-South Surgeons, PLLC
- Mid-Tennessee Bone & Joint
- Middle Tenn ENT Specialists
- Middle Tennessee Anesthesia Associates, PLLC
- Middle Tennessee Endocrinology Clinic PC
- Middle Tennessee Hearing Aid Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.