Germantown Ambulatory Surgical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000059 Issued in TN

Legal business name

GERMANTOWN AMBULATORY SURGICAL LLC

Practice address

7499 Poplar Pike
Germantown, TN 38138-5934

Phone

(901) 755-6465

Fax

(901) 757-5543

NPI assigned

Nov 8, 2006

Last updated

Feb 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Royal Langsdon, M.D.NPI 1396701413

Title

Medical Director

Phone

(901) 756-5474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518037811. Details of each certification follow.

• CCN 44C0001050 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 44C0001050

Legal name

GERMANTOWN AMBULATORY SURGICAL

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 11, 1993

Last certification

Jun 10, 2016

Ownership / control type

Proprietary

Facility address

7499 Poplar Pike
Germantown, TN 38138

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Phillip R Langsdon, MD

  • Facial Plastic Surgery Physician
  • Memphis, TN
  • NPI 1396701413
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1518037811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7499 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385934",
            "telephone_number": "901-755-6465",
            "fax_number": "901-757-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7499 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385934",
            "telephone_number": "901-755-6465",
            "fax_number": "901-757-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN AMBULATORY SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "LANGSDON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ROYAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "901-756-5474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Geissler
• Gen Smiles Inc. (New Gen Smiles Inc)
• Carrie Gentry, M.S., CCC-SLP
• William Rayburn Gentry Jr., PHD
• Annese Jaffery Geraci, OT
• Germantown Behavioral Solutions PLLC
• Germantown Chiropractic Clinic PLLC
• Germantown Dental Group
• Germantown Dermatology LLC
• Germantown Emergency Physicians, PLLC

• Ambulatory Surgical Clinic/Center in Germantown, TN
• Providers in Germantown, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.