NPIMap

Organization Active NPI

Tennessee Oncology PLLC

Doing business as The Surgical Clinic

  • Durable Medical Equipment & Medical Supplies
  • Mount Juliet, TN
National Provider Identifier
1730130436
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TENNESSEE ONCOLOGY PLLC
Doing business as
The Surgical Clinic
Practice address
660 S Mount Juliet Rd Ste 230
Mt Juliet, TN 37122-3923
Phone
(615) 874-9667
NPI assigned
May 15, 2006
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Pattie Y Douglas
Title
Payer Relations MGR
Phone
(615) 514-6876

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

660 S Mount Juliet Rd Ste 230
Mt Juliet, TN 37122-3923

Mailing address

PO Box 440100
Nashville, TN 37244-0100
Phone (615) 329-0570

Other names 1

  • The Surgical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930002332 TN DME Supplier - Physician - Podiatry 4688586134 Practice locations: Mt Juliet, TN

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Oncology PLLC77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

660 S Mount Juliet Rd
Ste 230
Mt Juliet, TN 37122
Phone (615) 874-9667

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1730130436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "615-329-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 230",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223923",
            "telephone_number": "615-874-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PATTIE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PAYER RELATIONS MGR",
        "authorized_official_telephone_number": "615-514-6876"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.