Active NPI
Gallatin Surgical Associates PLLC
- Surgery Physician
- Gallatin, TN
National Provider Identifier
1386718302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 38253
- Legal business name
- GALLATIN SURGICAL ASSOCIATES PLLC
- Practice address
- 300 Steam Plant Rd
Suite 470
Gallatin, TN 37066-3032 - Phone
- (615) 451-7706
- Fax
- (615) 451-7708
- NPI assigned
- Nov 20, 2006
- 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
- Dr. Jeffrey D Hollis, MD
- Title
- Sole Proprietor
- Phone
- (615) 451-7706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 38253 | TN | Primary |
Addresses
Primary practice location
300 Steam Plant Rd
Suite 470
Gallatin, TN 37066-3032
Mailing address
300 Steam Plant Rd
Suite 470
Gallatin, TN 37066-3032
Phone (615) 451-7706
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7824568 | Other | TN | AETNA |
| 9466849 | Other | TN | CIGNA |
| 2241512 | Other | TN | FIRST HEALTH |
| 4087130 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386718302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STEAM PLANT RD",
"address_2": "SUITE 470",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663032",
"telephone_number": "615-451-7706",
"fax_number": "615-451-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STEAM PLANT RD",
"address_2": "SUITE 470",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663032",
"telephone_number": "615-451-7706",
"fax_number": "615-451-7708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALLATIN SURGICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLLIS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "615-451-7706",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TN",
"license": "38253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7824568",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9466849",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2241512",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4087130",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.