NPIMap

Organization Active NPI

Tennessee Valley Specialty Center

  • Internal Medicine Physician
  • Pulaski, TN
National Provider Identifier
1437101573
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TENNESSEE VALLEY SPECIALTY CENTER
Practice address
1275 E College St
Suite 7
Pulaski, TN 38478-4500
Phone
(931) 363-2925
Fax
(931) 363-9563
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Firyad Hakim
Title
Office Manager
Phone
(931) 363-2925

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1275 E College St
Suite 7
Pulaski, TN 38478-4500

Mailing address

1275 E College St
Suite 7
Pulaski, TN 38478-4500
Phone (931) 363-2925

National Provider Directory

National Provider Directory

Locations

1275 E College St
Ste 7
Pulaski, TN 38478
Phone (931) 363-2925

Practitioners & affiliated clinicians

Practitioners 6

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1437101573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E COLLEGE ST",
            "address_2": "SUITE 7",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784500",
            "telephone_number": "931-363-2925",
            "fax_number": "931-363-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E COLLEGE ST",
            "address_2": "SUITE 7",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784500",
            "telephone_number": "931-363-2925",
            "fax_number": "931-363-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY SPECIALTY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "FIRYAD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-363-2925"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.