Active NPI
Sumner Surgical Associates PLLC
- Surgery Physician
- Gallatin, TN
National Provider Identifier
1912104068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SUMNER SURGICAL ASSOCIATES PLLC
- Practice address
- 323 Steam Plant Rd
Gallatin, TN 37066-3025 - Phone
- (615) 452-1060
- Fax
- (615) 452-5474
- NPI assigned
- Jul 2, 2007
- Last updated
- Dec 3, 2007
- 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
- Dr. Rodney Brandon Mewbourne, M.D.
- Title
- Owner - Provider
- Phone
- (615) 452-1060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TN | Primary |
Addresses
Primary practice location
323 Steam Plant Rd
Gallatin, TN 37066-3025
Mailing address
323 Steam Plant Rd
Gallatin, TN 37066-3025
Phone (615) 452-1060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5441900 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1912104068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 STEAM PLANT RD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663025",
"telephone_number": "615-452-1060",
"fax_number": "615-452-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 STEAM PLANT RD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663025",
"telephone_number": "615-452-1060",
"fax_number": "615-452-5474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMNER SURGICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "MEWBOURNE",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "BRANDON",
"authorized_official_title_or_position": "OWNER - PROVIDER",
"authorized_official_telephone_number": "615-452-1060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5441900",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
- Sumner Regional Medical Center LLC (Highpoint Health - Sumner with Ascension Saint Thomas)
- Sumner Regional Medical Center LLC (Highpoint Health - Sumner with Ascension Saint Thomas)
- Sumner Regional Medical Center LLC (HighPoint Homecare)
- Sumner Regional Medical Center LLC (Highpoint Health - Sumner with Ascension Saint Thomas)
- Sumner Regional Medical Center LLC (HighPoint Hospice)
- Emily Anne Susan
- Kerri R Suter
- Nadia Razaq Sutton, MD
- Edgar Earl Swan, OPTICIAN
- Lauren Baughman Swartwood, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.