Organization Active NPI

Cumberland Surgical Arts and Associates, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Clarksville, TN
National Provider Identifier
1558879007
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
MD0000040738 Issued in TN
Legal business name
CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC
Practice address
2285 Rudolphtown Road
Suite 200
Clarksville, TN 37043
Phone
(931) 552-3292
Fax
(931) 552-3243
NPI assigned
Jan 18, 2018
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Dr. George S Lee, M.D., D.D.SNPI 1588614804
Title
Doctor
Phone
(931) 552-3292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS0000008427 TN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS0000008953 TN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS0000009847 TN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS0000005220 TN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN011393 GA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 254190 MS
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 50700 KY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD0000040738 TN Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X MD0000040738 TN

Addresses

Primary practice location

2285 Rudolphtown Road
Suite 200
Clarksville, TN 37043

Mailing address

2285 Rudolphtown Road
Suite 200
Clarksville, TN 37043
Phone (931) 552-3292

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 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.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1558879007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 RUDOLPHTOWN ROAD",
            "address_2": "SUITE 200",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "931-552-3292",
            "fax_number": "931-552-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 RUDOLPHTOWN ROAD",
            "address_2": "SUITE 200",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "931-552-3292",
            "fax_number": "931-552-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "931-552-3292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000008427",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000008953",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000009847",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000005220",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN011393",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "254190",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "50700",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "MD0000040738",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TN",
            "license": "MD0000040738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.