NPIMap

Organization Active NPI

Mercy Women's Center

  • Clinic/Center
  • Jacksboro, TN
National Provider Identifier
1356576631
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY WOMEN'S CENTER
Practice address
2500 Jacksboro Pike
Suite 30
Jacksboro, TN 37757-2818
Phone
(423) 907-1685
Fax
(423) 907-1688
NPI assigned
May 15, 2009
Last updated
Feb 5, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY PHYSICIANS SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Susanne Nelms
Title
Practice Administrator/Director
Phone
(865) 549-4892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2500 Jacksboro Pike
Suite 30
Jacksboro, TN 37757-2818

Mailing address

2500 Jacksboro Pike
Suite 30
Jacksboro, TN 37757-2818
Phone (423) 907-1685

National Provider Directory

National Provider Directory
Tax ID family
East TN Women's Specialist31 organizations share this tax ID, including this one
Part of
East TN Women's Specialist

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1356576631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 JACKSBORO PIKE",
            "address_2": "SUITE 30",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572818",
            "telephone_number": "423-907-1685",
            "fax_number": "423-907-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 JACKSBORO PIKE",
            "address_2": "SUITE 30",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572818",
            "telephone_number": "423-907-1685",
            "fax_number": "423-907-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY WOMEN'S CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY PHYSICIANS SERVICES, LLC",
        "enumeration_date": "2009-05-15",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "865-549-4892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.