Delozier Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

00000165 Issued in TN

Legal business name

DELOZIER SURGERY CENTER LLC

Practice address

209 23Rd Ave N
Nashville, TN 37203-1501

Phone

(615) 565-9000

Fax

(615) 565-9005

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Joseph Delozier III, MD

Title

Owner

Phone

(615) 565-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 44C0001156

Legal name

DELOZIER SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 22, 2006

Last certification

Aug 1, 2018

Ownership / control type

Proprietary

Facility address

209 23Rd Avenue North
Nashville, TN 37203

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1942484605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-565-9000",
            "fax_number": "615-565-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-565-9000",
            "fax_number": "615-565-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELOZIER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "DELOZIER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-565-9000",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "00000165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Delle, ACNP-BC
• Daniella Dellisanti, M.A., CCC-SLP
• Nicole Dellise, APN
• Johnny Shealy Deloache, LPC-MHSP
• Shauniece Contrell Deloney, LMSW
• Jan Delozier, MD
• Joseph B Delozier III, MD
• Brock Delphey, PHARMD
• Mary Dixon Recio Delpire, AGPCNP-BC
• Emily Deluca

• Ambulatory Surgical Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.