Organization Active NPI

Mid-State Neurosurgery PC

  • Specialist
  • Murfreesboro, TN
National Provider Identifier
1407864697
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID-STATE NEUROSURGERY PC
Practice address
1800 Medical Center Pkwy
Suite 300
Murfreesboro, TN 37129-2567
Phone
(615) 849-8004
Fax
(615) 849-1334
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Becky Haynes
Title
Practice Manager
Phone
(615) 849-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1800 Medical Center Pkwy
Suite 300
Murfreesboro, TN 37129-2567

Mailing address

1800 Medical Center Pkwy
Suite 300
Murfreesboro, TN 37129-2567
Phone (615) 849-8004

National Provider Directory

National Provider Directory

Locations

1800 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129
Phone (615) 848-0488

1139 NW Broad St
Ste 103
Murfreesboro, TN 37129
Phone (615) 217-0097

503 E Bell St
Ste 300
Murfreesboro, TN 37130
Phone (615) 849-8004

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1407864697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY",
            "address_2": "SUITE 300",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292567",
            "telephone_number": "615-849-8004",
            "fax_number": "615-849-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY",
            "address_2": "SUITE 300",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292567",
            "telephone_number": "615-849-8004",
            "fax_number": "615-849-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "615-849-8004"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.