NPIMap

Organization Active NPI

Lafollette General Surgery

  • Clinic/Center
  • La Follette, TN
National Provider Identifier
1366677585
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAFOLLETTE GENERAL SURGERY
Practice address
919 E Central Ave
Suite 201
Lafollette, TN 37766-2777
Phone
(423) 907-1680
Fax
(423) 907-1684
NPI assigned
May 18, 2009
Last updated
Feb 5, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY PHYSICAINS 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

919 E Central Ave
Suite 201
Lafollette, TN 37766-2777

Mailing address

919 E Central Ave
Suite 201
Lafollette, TN 37766-2777
Phone (423) 907-1680

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

Locations

919 E Central Ave
Ste 201
La Follette, TN 37766
Phone (423) 563-5499

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1366677585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 E CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "377662777",
            "telephone_number": "423-907-1680",
            "fax_number": "423-907-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "377662777",
            "telephone_number": "423-907-1680",
            "fax_number": "423-907-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFOLLETTE GENERAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY PHYSICAINS SERVICES, LLC",
        "enumeration_date": "2009-05-18",
        "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 La Follette, 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.