Spine and Medical Associates of Grundy County

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SPINE AND MEDICAL ASSOCIATES OF GRUNDY COUNTY

Practice address

32717 Sr 108
Gruetli, TN 37339

Phone

(931) 779-2225

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Matthew D Anderson

Title

Secretary

Phone

(931) 779-2225

Specialties & licenses 1

Addresses

Practitioners 3

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.

• David G Florence, DO

  • Family Medicine Physician
  • Manchester, TN
  • NPI 1881676856
  NPD
• Melissa Norma Cockrell, APRN, NP-C

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1093037731
  NPD (past)
• Patricia Ann Roy, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1881815876
  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1760799159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "COALMONT",
            "state": "TN",
            "postal_code": "373130147",
            "telephone_number": "931-779-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32717 SR 108",
            "city": "GRUETLI",
            "state": "TN",
            "postal_code": "37339",
            "telephone_number": "931-779-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND MEDICAL ASSOCIATES OF GRUNDY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "931-779-2225"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.