Macourlyn Center for Plastic Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

37242 Issued in TN

Legal business name

MACOURLYN CENTER FOR PLASTIC SURGERY PC

Practice address

1370 Gateway Blvd
Suite 210
Murfreesboro, TN 37129

Phone

(615) 895-9100

Fax

(615) 895-9200

NPI assigned

Dec 4, 2007

Last updated

Aug 9, 2013By 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. Kerri M Woodberry, MDNPI 1508854738

Title

President

Phone

(615) 895-9100

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.

• Kerri M Woodberry, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Murfreesboro, TN
  • NPI 1508854738
  Authorized official Same address or phone

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1649452343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11922",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290039",
            "telephone_number": "615-895-9100",
            "fax_number": "615-895-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 GATEWAY BLVD",
            "address_2": "SUITE 210",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-895-9100",
            "fax_number": "615-895-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOURLYN CENTER FOR PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "WOODBERRY",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-895-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "37242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Wes Mackens, MD
• Kristen Thigpen Mackens, PA-C, RD, LDN
• Douglas Joseph Mackenzie, MD
• Nickey L Mackey, DP
• Robert Duncan Macmillan Jr., MD
• Michael A Macquarrie, MD
• Michael Dawson Maddox, PA C
• Savannah Maddox
• Kevin Madondo, FNP-C
• Maged Medical Transport LLC

• Specialist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.