West Tennessee Neurosurgical Clinic

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

WEST TENNESSEE NEUROSURGICAL CLINIC

Practice address

1040 Greystone SQ
Jackson, TN 38305-3580

Phone

(731) 410-2367

Fax

(731) 668-8487

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

John W Neblett Jr., M.D.NPI 1578591731

Title

President

Phone

(731) 410-2367

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• John Wallace Neblett Jr., M.D.

  • Neurological Surgery Physician
  • Jackson, TN
  • NPI 1578591731

  Neurological Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1366485682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053580",
            "telephone_number": "731-410-2367",
            "fax_number": "731-668-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053580",
            "telephone_number": "731-410-2367",
            "fax_number": "731-668-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE NEUROSURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "NEBLETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-410-2367",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710575",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4052871",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Tennessee Healthcare Hospitalists Inc
• West Tennessee Hearing & Speech Center, Inc
• West Tennessee Kidney Specialists P.C.
• West Tennessee Medical Group Inc
• West Tennessee Medical Group Inc
• West Tennessee Optometry, PLLC
• West Tennessee Orthopedics and Sports Medicine,P.C.
• West Tennessee Pain Specialists PLLC
• West Tennessee Pediatric Dental Group Inc
• West Tennessee Regional Health Office Children Special Services

• All providers in Jackson, TN
• Neurological Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.