Organization Active NPI

Medical Parkway Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1962085621
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MEDICAL PARKWAY SURGERY CENTER, LLC
Practice address
1725 Medical Center Pkwy Ste 120
Murfreesboro, TN 37129-2248
Phone
(629) 219-4040
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Brandi Reid
Title
Billing and Insurance Admin
Phone
(615) 569-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1725 Medical Center Pkwy Ste 120
Murfreesboro, TN 37129-2248

Mailing address

1725 Medical Center Pkwy Ste 120
Murfreesboro, TN 37129-2248
Phone (629) 219-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318001515 TN Part B Supplier - Ambulatory Surgical Center 7719372275 Receives reassigned benefits from 4 practitioners
Practice locations: Murfreesboro, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Medical Parkway Surgery Center LLCCCN 44C0001211
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2253016Medical Center Parkway Surgery Center, LLC1725 Medical Center Parkway Drive, Suite 120, Murfreesboro, TN 37129Certificate of waiverFeb 15, 2028

National Provider Directory

National Provider Directory

Locations

1725 Medical Center Pkwy
Ste 1
Murfreesboro, TN 37129

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1962085621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PKWY STE 120",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292248",
            "telephone_number": "629-219-4040",
            "fax_number": "888-947-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PKWY STE 120",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292248",
            "telephone_number": "629-219-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARKWAY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "BILLING AND INSURANCE ADMIN",
        "authorized_official_telephone_number": "615-569-9096"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.