Active NPI
Memphis Surgery Associates, P.C.
- Surgery Physician
- Memphis, TN
National Provider Identifier
1790715852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MEMPHIS SURGERY ASSOCIATES, P.C.
- Practice address
- 6029 Walnut Grove Rd
Suite 404
Memphis, TN 38120-2112 - Phone
- (901) 726-1056
- Fax
- (901) 726-5867
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Randolph Turner, MD
- Title
- Ceo/President
- Phone
- (901) 726-1056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
6029 Walnut Grove Rd
Suite 404
Memphis, TN 38120-2112
Mailing address
6029 Walnut Grove Rd
Suite 404
Memphis, TN 38120-2112
Phone (901) 726-1056
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3703067 | Medicaid | TN | |
| CE0722 | Other | TN | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
2996 Kate Bond Rd
Ste 309
Bartlett, TN 38133
Phone (901) 722-9943
1325 Eastmoreland Ave
Ste 580
Memphis, TN 38104
Phone (901) 726-5300
6005 Park Ave
Ste 82
Memphis, TN 38119
6029 Walnut Grove Rd
Ste 404
Memphis, TN 38120
6005 Park Ave
Ste 821B
Memphis, TN 38119
Phone (901) 683-7319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197417600000",
"number": "1790715852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6029 WALNUT GROVE RD",
"address_2": "SUITE 404",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202112",
"telephone_number": "901-726-1056",
"fax_number": "901-726-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6029 WALNUT GROVE RD",
"address_2": "SUITE 404",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202112",
"telephone_number": "901-726-1056",
"fax_number": "901-726-5867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS SURGERY ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2007-12-12",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "RANDOLPH",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "901-726-1056",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3703067",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE0722",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.