Tennessee Foot & Ankle Specialists PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

644 Issued in TN

Legal business name

TENNESSEE FOOT & ANKLE SPECIALISTS PC

Practice address

397 Wallace Rd
BLDG C Suite 311
Nashville, TN 37211-4854

Phone

(615) 785-6890

Fax

(615) 369-3095

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 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

James Allen Sudberry, DPMNPI 1578665188

Title

President

Phone

(615) 785-6890

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

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.

• James Allen Sudberry, DPM

  • Podiatrist
  • Smyrna, TN
  • NPI 1578665188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1740615657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "BLDG C SUITE 311",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-785-6890",
            "fax_number": "615-369-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "BLDG C SUITE 311",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-785-6890",
            "fax_number": "615-369-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE FOOT & ANKLE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "SUDBERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-785-6890",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tennessee Em-I Medical Services PC
• Tennessee Em-I Medical Services PC
• Tennessee Family Dental Bellevue PC
• Tennessee Family Dental Care - Germantown PC (Germantown Dental)
• Tennessee Family Dental Care- Midtown PLLC
• Tennessee Grace Care Incorporated
• Tennessee HB Medical Services PC
• Tennessee HB Medical Services PC
• Tennessee Heart and Vascular, LLC
• Tennessee Home Medical, Inc

• Foot & Ankle Surgery Podiatrist in Nashville, TN
• Providers in Nashville, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.