Organization Active NPI

Middle Tennessee Surgical Services, PLLC

  • Surgery Physician
  • Shelbyville, TN
National Provider Identifier
1487088498
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
48189 Issued in TN
Legal business name
MIDDLE TENNESSEE SURGICAL SERVICES, PLLC
Practice address
2839 Highway 231 N
201
Shelbyville, TN 37160-7447
Phone
(931) 685-8663
Fax
(931) 685-8669
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Mason Mandy, MDNPI 1598924029
Title
Owner
Phone
(646) 246-1689

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 48189 TN Primary

Addresses

Primary practice location

2839 Highway 231 N
201
Shelbyville, TN 37160-7447

Mailing address

2839 Highway 231 N
201
Shelbyville, TN 37160-7447
Phone (931) 685-8663

National Provider Directory

National Provider Directory

Locations

2839 Highway 231 N
Ste 201
Shelbyville, TN 37160
Phone (615) 342-7790

Practitioners & affiliated clinicians

Practitioners 1

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": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1487088498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 HIGHWAY 231 N",
            "address_2": "201",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607447",
            "telephone_number": "931-685-8663",
            "fax_number": "931-685-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 HIGHWAY 231 N",
            "address_2": "201",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607447",
            "telephone_number": "931-685-8663",
            "fax_number": "931-685-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE SURGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "MANDY",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-246-1689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "48189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.