The Plastic Surgery Center Brentwood

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE PLASTIC SURGERY CENTER BRENTWOOD

Practice address

620 Church Street East
Brentwood, TN 37027

Phone

(615) 771-7718

Fax

(615) 410-2096

NPI assigned

Apr 20, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Teresa B. Safford, DO

Title

RN/Or Director

Phone

(615) 771-7718

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Ambulatory surgical center certification: CCN 44C0001201

Legal name

THE PLASTIC SURGERY CENTER BRENTWOOD, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 14, 2020

Last certification

Sep 14, 2020

Facility address

620 Church Street East
Brentwood, TN 37027

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Papillion, M.D.

  • Plastic Surgery Physician
  • Franklin, TN
  • NPI 1053431015
  NPD (past)

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1790348142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CHURCH STREET EAST",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-771-7718",
            "fax_number": "615-410-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CHURCH STREET EAST",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-771-7718",
            "fax_number": "615-410-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY CENTER BRENTWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "SAFFORD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "RN/OR DIRECTOR",
        "authorized_official_telephone_number": "615-771-7718",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639313083",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Brentwood, TN
• Providers in Brentwood, 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 Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.