Spine and Pain Physicians Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPINE AND PAIN PHYSICIANS SURGERY CENTER, LLC

Practice address

1177 Rock Springs Rd
St 130
Smyrna, TN 37167-8411

Phone

(615) 459-3881

Fax

(615) 459-3884

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Charles G Hilgenhurst, MDNPI 1114966355

Title

Medical Director

Phone

(615) 310-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Spine and Pain Physicians Surgery CenterCCN 44C0001187

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Charles Grafford Hilgenhurst, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Smyrna, TN
  • NPI 1114966355
  NPD (past) Authorized official

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1770837866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 ROCK SPRINGS RD",
            "address_2": "ST 130",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678411",
            "telephone_number": "615-459-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 ROCK SPRINGS RD",
            "address_2": "ST 130",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678411",
            "telephone_number": "615-459-3881",
            "fax_number": "615-459-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND PAIN PHYSICIANS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "HILGENHURST",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-310-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kylie Spence, PA
• Emily Spence
• Mark T, Spence, DPH
• Spero Health of Tennessee, LLC
• Stephanie S Spicher, MS OT
• Taylor Spurling
• Abbey Renee Stacey
• Star Medical Group, LLC
• Kimberly Ann Starkman, MS CCC SLP
• Startlight Inc

• Ambulatory Surgical Clinic/Center in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.