Sumner Neurosurgical Associates PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

39694 Issued in TN

Legal business name

SUMNER NEUROSURGICAL ASSOCIATES PLLC

Practice address

300 Steam Plant Rd
Suite 470
Gallatin, TN 37066-3032

Phone

(615) 230-5508

Fax

(615) 451-7708

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By 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. Marshall Tredway Watson Jr., M.D.NPI 1568461374

Title

Owner

Phone

(615) 230-5508

Specialties & licenses 1

Addresses

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.

• Marshall Tredway Watson Jr., MD

  • Neurological Surgery Physician
  • Santa Fe, NM
  • NPI 1568461374
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649317090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370660247",
            "telephone_number": "615-230-5508",
            "fax_number": "615-451-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD",
            "address_2": "SUITE 470",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663032",
            "telephone_number": "615-230-5508",
            "fax_number": "615-451-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER NEUROSURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "TREDWAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-230-5508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "39694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sumner Physician Practices LLC (Gallatin Family Wellness)

• Neurological Surgery Physician in Gallatin, TN
• Providers in Gallatin, 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.