Organization Active NPI

Comprehensive Neurology Center, PLLC

  • Pain Medicine Physician
  • Mount Juliet, TN
National Provider Identifier
1407302169
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
COMPREHENSIVE NEUROLOGY CENTER, PLLC
Practice address
5000 Crossings Cir Ste 101
Mt Juliet, TN 37122
Phone
(615) 410-4990
Fax
(615) 410-4250
NPI assigned
Aug 31, 2016
Last updated
May 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Dr. John Schneider, MDNPI 1730145285
Title
President
Phone
(615) 410-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

5000 Crossings Cir Ste 101
Mt Juliet, TN 37122

Mailing address

2548 Rideout LN
Murfreesboro, TN 37128-7686
Phone (615) 410-4990

Other identifiers 11

IdentifierTypeStateIssuer
10370G1506OtherTNGROUP MEDICARE PTAN
1104365964OtherINDIVIDUAL NPI - AMANDA MASON, NP
1588944532OtherGROUP NPI
19321240951OtherINDIVIDUAL NPI - JOHANNA JIRIKOVEC, NP
1538414305OtherINDIVIDUAL NPI - MONICA SATTERWHITE, NP
1730145285OtherINDIVIDUAL NPI - JOHN SCHNEIDER, MD
1619217106OtherINDIVIDUAL NPI - MEGAN CHILDERS, NP
44D2117373OtherCLIA WAIVER #
1525675MedicaidTN
1013245588OtherINDIVIDUAL NPI - MISTIE GERMEK, PHD
1215273917OtherINDIVIDUAL NPI - DANA CARTER, NP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111004000233 TN Part B Supplier - Clinic/Group Practice 0648442269 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Franklin, TN; Murgreesboro, TN; Murfreesboro, TN; Madison, TN; Hermitage, TN; Hendersonville, TN; Dickson, TN; Columbia, TN…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

317 Seven Springs Way
Ste 201
Brentwood, TN 37027
Phone (615) 846-4558

1501 Hatcher Ln
Columbia, TN 38401

230 E James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 840-9588

353 New Shackle Island Rd
Ste 201A
Hendersonvlle, TN 37075
Phone (615) 822-5660

3901 Central Pike
Ste 257
Hermitage, TN 37076
Phone (615) 859-7546

5651 Frist Blvd
Ste 413
Hermitage, TN 37076
Phone (615) 824-4357

1221 Briarville Rd
Madison, TN 37115
Phone 61541049901007

5003 Crossings Cir
Ste 201
Mount Juliet, TN 37122

2140 N Thompson Ln
Ste 100
Murfreesboro, TN 37129

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1407302169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 RIDEOUT LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287686",
            "telephone_number": "615-410-4990",
            "fax_number": "615-410-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR STE 101",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-410-4990",
            "fax_number": "615-410-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-410-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "10370G1506",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - AMANDA MASON, NP",
            "identifier": "1104365964",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1588944532",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - JOHANNA JIRIKOVEC, NP",
            "identifier": "19321240951",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - MONICA SATTERWHITE, NP",
            "identifier": "1538414305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - JOHN SCHNEIDER, MD",
            "identifier": "1730145285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - MEGAN CHILDERS, NP",
            "identifier": "1619217106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER #",
            "identifier": "44D2117373",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525675",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - MISTIE GERMEK, PHD",
            "identifier": "1013245588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - DANA  CARTER, NP",
            "identifier": "1215273917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.