Organization Active NPI

Memphis Surgery Associates, P.C.

  • Surgery Physician
  • Memphis, TN
National Provider Identifier
1790715852
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Dec 12, 2007

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3703067MedicaidTN
CE0722OtherTNRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.