NPIMap

Organization Active NPI

Compass Health Systems of Tennessee

  • Psychiatry Physician
  • Nunnelly, TN
National Provider Identifier
1831719442
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COMPASS HEALTH SYSTEMS OF TENNESSEE
Practice address
6107 Pinewood Rd
Nunnelly, TN 37137-2523
Phone
(888) 852-6672
Fax
(305) 891-4228
NPI assigned
Apr 23, 2020
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Scott Segal, MDNPI 1821086323
Title
Ceo-President
Phone
(888) 852-6672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

6107 Pinewood Rd
Nunnelly, TN 37137-2523

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other practice location 1

1001 N James Campbell Blvd
Columbia, TN 38401
Phone (888) 852-6672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007002175 TN Part B Supplier - Clinic/Group Practice 2062831209 Receives reassigned benefits from 7 practitioners
Practice locations: Nunnelly, TN

National Provider Directory

National Provider Directory

Locations

1001 N James M Campbell Blvd
Columbia, TN 38401
Phone (931) 777-6000

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1831719442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 PINEWOOD RD",
            "city": "NUNNELLY",
            "state": "TN",
            "postal_code": "371372523",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N James Campbell Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASS HEALTH SYSTEMS OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "888-852-6672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nunnelly, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.