Organization Active NPI

C & C Neurological Associates PLLC

  • Neurology Physician
  • Hendersonville, TN
National Provider Identifier
1871723353
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
C & C NEUROLOGICAL ASSOCIATES PLLC
Practice address
353 New Shackle Island Rd.
Building a, Suite 100
Hendersonville, TN 37167
Phone
(615) 681-2659
Fax
(615) 822-8909
NPI assigned
Jul 20, 2009
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Marcos J Cruz, MDNPI 1265556898
Title
Owner
Phone
(615) 681-2659

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

353 New Shackle Island Rd.
Building a, Suite 100
Hendersonville, TN 37167

Mailing address

6339 Charlotte Pike # 964
Nashville, TN 37209-2926
Phone (615) 681-2659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090819000762 TN Part B Supplier - Clinic/Group Practice 1850445248 Receives reassigned benefits from 1 practitioner
Practice locations: Gallatin, TN

National Provider Directory

National Provider Directory

Locations

353 New Shackle Island Rd
Bldg A
Hendersonville, TN 37075
Phone (615) 681-2659

Practitioners & affiliated clinicians

Practitioners 1

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": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1871723353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 CHARLOTTE PIKE # 964",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092926",
            "telephone_number": "615-681-2659",
            "fax_number": "615-822-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD.",
            "address_2": "BUILDING A, SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "37167",
            "telephone_number": "615-681-2659",
            "fax_number": "615-822-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C NEUROLOGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-681-2659",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.