Kca Neurology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KCA NEUROLOGY, PLLC

Practice address

311 Landrum PL
Suite B400
Clarksville, TN 37043-6319

Phone

(615) 550-1800

Fax

(615) 550-1801

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Tricia Mora, CPC

Title

Billing Director

Phone

(615) 550-1800

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABAFDD

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1851728430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 CAROTHERS PKWY",
            "address_2": "SUITE 609",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675914",
            "telephone_number": "615-550-1800",
            "fax_number": "615-550-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL",
            "address_2": "SUITE B400",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "615-550-1800",
            "fax_number": "615-550-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCA NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "615-550-1800",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.