Organization Active NPI

Tennessee Valley Surgery Group

  • Surgery Physician
  • Florence, AL
National Provider Identifier
1356309652
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TENNESSEE VALLEY SURGERY GROUP
Practice address
1751 Veterans Dr Ste 125
Florence, AL 35630
Phone
(256) 766-0150
Fax
(256) 764-4638
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Sheree E Looney
Title
Office Manager
Phone
(256) 766-0150

Specialties & licenses 1

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

Addresses

Primary practice location

1751 Veterans Dr Ste 125
Florence, AL 35630

Mailing address

1751 Veterans Dr Ste 125
Florence, AL 35630-4932
Phone (256) 766-0150

Other practice location 1

2115 Cloyd Blvd
Suite 8
Florence, AL 35630-7512
Phone (256) 766-0150

Other practice location 2

203 Avalon Ave Ste 340
Muscle Shoals, AL 35661-2855
Phone (256) 766-0150 ext. 111

Other identifiers 1

IdentifierTypeStateIssuer
MD.25005OtherALLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wesley.desselle@tnvalleysurgerygroup.directbygreenway.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051031000722 AL Part B Supplier - Clinic/Group Practice 2163449901 Receives reassigned benefits from 4 practitioners
Practice locations: Florence, AL

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
01D0686307Tennessee Valley Surgery Group PC1751 Veterans Drive Suite 125, Florence, AL 35630Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2115 Cloyd Blvd
Ste 8
Florence, AL 35630
Phone (256) 766-0150

1751 Veterans Dr
Ste 125
Florence, AL 35630
Phone (256) 766-0150

2115 Cloyd Blvd
#8
Florence, AL 35630
Phone (256) 766-0150

Interoperability endpoints

  • Direct secure messaging: wesley.desselle@tnvalleysurgerygroup.directbygreenway.com

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1356309652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 125",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304932",
            "telephone_number": "256-766-0150",
            "fax_number": "256-764-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 125",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-766-0150",
            "fax_number": "256-764-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Cloyd Blvd",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356307512",
            "country_code": "US",
            "telephone_number": "256-766-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Avalon Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612855",
            "country_code": "US",
            "telephone_number": "256-766-0150 x111",
            "fax_number": "256-764-4638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TENNESSEE VALLEY SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "LOONEY",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-766-0150"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD.25005",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wesley.desselle@tnvalleysurgerygroup.directbygreenway.com",
            "affiliation": "N",
            "address_1": "1751 Veterans Dr Ste 125",
            "city": "Florence",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356304932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.