Premier Neurosurgery & Spine Ctr

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

36263 Issued in TN

Legal business name

PREMIER NEUROSURGERY & SPINE CTR

Practice address

730 Kings Lane
Tullahoma, TN 37388

Phone

(931) 393-2121

Fax

(931) 393-2666

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Seyed M Emadian, MD PH D

Title

Neurosurgeon President

Phone

(931) 393-2121

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629035779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 KINGS LANE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-393-2121",
            "fax_number": "931-393-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 KINGS LANE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-393-2121",
            "fax_number": "931-393-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NEUROSURGERY & SPINE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMADIAN",
        "authorized_official_first_name": "SEYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NEUROSURGEON PRESIDENT",
        "authorized_official_telephone_number": "931-393-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PH D"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "36263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3722831",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Neurological Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.