NPIMap

Organization Active NPI

Southern Sports Medicine Institute, PLLC

  • Orthopaedic Surgery Physician
  • Gallatin, TN
National Provider Identifier
1497966832
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4374964 Issued in TN
Legal business name
SOUTHERN SPORTS MEDICINE INSTITUTE, PLLC
Practice address
570 Hartsville Pike
PO 1686
Gallatin, TN 37066-2450
Phone
(615) 452-3320
Fax
(615) 452-2668
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Stacy L McGahee
Title
Billing MGR
Phone
(615) 452-3320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 4374964 TN Primary

Addresses

Primary practice location

570 Hartsville Pike
PO 1686
Gallatin, TN 37066-2450

Mailing address

570 Hartsville Pike
Gallatin, TN 37066-2450
Phone (615) 452-3320

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1497966832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662450",
            "telephone_number": "615-452-3320",
            "fax_number": "615-452-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 HARTSVILLE PIKE",
            "address_2": "PO 1686",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662450",
            "telephone_number": "615-452-3320",
            "fax_number": "615-452-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SPORTS MEDICINE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "MCGAHEE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "615-452-3320"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "4374964",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 15, 2010; 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.