Spine Specality Center PLLC

Primary specialty

Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X

License

1772 Issued in TN

Legal business name

SPINE SPECALITY CENTER PLLC

Practice address

6005 Park Ave
Suite 400
Memphis, TN 38119-5202

Phone

(901) 767-9500

NPI assigned

Sep 26, 2006

Last updated

Jun 25, 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

Douglas A Linville, MDNPI 1174590780

Title

Owner

Phone

(901) 767-9500

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Gipson Specialty Center, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Memphis, TN
  • NPI 1477754505

  Member Of

  NPD member

Practitioners 2

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.

• Douglas A Linville, M.D.

  • Orthopaedic Surgery Physician
  • Atanta, GA
  • NPI 1174590780
  NPD Authorized official
• Stephen Lavon Gipson, MD

  • Pain Medicine Physician
  • Memphis, TN
  • NPI 1205911518
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1710088463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPECALITY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "LINVILLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-767-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TN",
            "license": "1772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Delaney Spiers, MD
• Kendric Lequan Spikes
• Shirley Spiller-Johnson, ADMINISTRATOR/OPERAT
• Frances Bethany Spiller, PHD
• Spine Cin of West Tennessee LLC
• Melontina Roshelle Spiney
• Vicki A. Spinosa, CMSW
• Michael Spinrad, MD
• Eugene J. Spiotta Jr., M.D.
• Larry B Spiotta, MD

• Medical-Surgical Clinical Nurse Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Medical-Surgical Clinical Nurse Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.