SURGICAL PROFESSIONALS, INC (NPI# 1235545005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235545005 |
| Entity Type | Organization |
| Organization Name | SURGICAL PROFESSIONALS, INC |
| Practice Address |
1810 Toliver Trce Mount Juliet TN 37122-4940 |
| Mailing Address |
Po Box 110339 Nashville TN 37222-0339 |
| Practice Telephone | 6158313711 |
| Practice Fax Number | 6158313713 |
| Mailing Telephone | 6158313711 |
| Mailing Fax Number | 6158313713 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |
| Authorized Official Name | BILLY S WILLIAMS (PRESIDENT/CEO) |
| Authorized Official Telephone | 6158313711 |
| Authorized Official Credential | SA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285000265 | Surgical Professionals, Inc | Specialist/Technologist, Other | 3005 Watson Dr, Marianna, FL 32446-2208 | 2015-08-13 |
| 1982629978 | Surgical Professionals, Inc | Surgery | 4135 S Power Rd, Suite 117, Mesa, AZ 85212-3624 | 2006-07-12 |
| Street Address |
1810 TOLIVER TRCE |
| City | MOUNT JULIET |
| State | TN |
| Zip Code | 37122-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699931667 | Amy L Lovell | Specialist/Technologist, Other | 1810 Toliver Trce, Mount Juliet, TN 37122-4940 | 2008-07-30 |
| 1427455757 | Dusty Lynn | Specialist/Technologist, Other | 1810 Toliver Trce, Mount Juliet, TN 37122-4940 | 2014-12-02 |
| 1306253901 | Scott Griffin | Specialist/Technologist, Other | 1810 Toliver Trce, Mount Juliet, TN 37122-4940 | 2014-07-15 |
| 1861803496 | Laura Shaughnessy | Registered Nurse | 1810 Toliver Trce, Mount Juliet, TN 37122-4940 | 2014-05-16 |
| 1376851493 | Heather Osborne | Specialist/Technologist, Other | 1810 Toliver Trce, Mount Juliet, TN 37122-4940 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628084 | Your Motion Physical Therapy Pllc | Physical Therapist | 102 Vanner Rd, Mt. Juliet, TN 37122 | 2020-01-14 |
| 1639728355 | Brantley Allen Thigpen | Student in an Organized Health Care Education/Training Program | 2128, Fellowshid Rd, Mount Juliet, TN 37122 | 2019-09-05 |
| 1811479272 | Jessica Danielle Parker | Nurse Practitioner | 854 N Mt Juliet Road, Mt Juliet, TN 37122 | 2018-09-02 |
| 1952891798 | Twin Lakes Dental Care Pllc | Clinic/Center | 11315 Lebanon Rd, Mount Juliet, TN 37122 | 2018-05-17 |
| 1346768983 | William Siegel | Chiropractor | 650 S. Mount Juliet Rd. Suite 105, Mount Juliet, TN 37122 | 2017-09-04 |
| 1194269506 | Michele Mcdermitt | Nurse Practitioner | 108 Providence Trail, Mt. Juliet, TN 37122 | 2016-12-05 |
| 1720537491 | Mt. Juliet Dental Group, PC | Dentist | 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122 | 2016-09-23 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1639624109 | Samantha Nicole Grishaber | Occupational Therapist | 5000 Crossing Circle, Suite 100, Mount Juliet, TN 37122 | 2016-08-24 |
| 1033584461 | Kimberly Campbell | Nurse Practitioner | 3500 N Mount Juliet Rd Ste 201, Mt Juliet, TN 37122 | 2015-12-10 |
| Find all providers in zip 37122 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235395385 | Tenn Sm LLC | Clinic/Center | 5002 Crossings Cir, Ste 110, Mount Juliet, TN 37122-8471 | 2008-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939559 | Endoscopy Center of St Thomas Lp | Clinic/Center | 4230 Harding Pike Ste 309b, Nashville, TN 37205-2013 | 2020-10-09 |
| 1790344182 | Bristol Ambulatory Surgery Center, LLC | Clinic/Center | 350 Blountville Hwy Ste 108, Bristol, TN 37620-1676 | 2019-06-10 |
| 1528622321 | Premier-covenant Astc LLC | Clinic/Center | 6408 Papermill Dr Ste 220, Knoxville, TN 37919-4858 | 2019-04-26 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1326508045 | Eye Surgery Center of Lenoir City, LLC | Clinic/Center | 5491 Creekwood Park Blvd Ste B, Lenoir City, TN 37772-1204 | 2019-03-20 |
| 1629536826 | Meadowview Asc, LLC | Clinic/Center | 2033 Meadowview Ln Ste 210, Kingsport, TN 37660-7569 | 2019-03-06 |
| 1780157990 | Renaissance Surgery Center, LLC | Clinic/Center | 320 Bristol West Blvd Ste 1a, Bristol, TN 37620-8773 | 2019-01-10 |
| 1619487782 | Uch Vascular Access Asc LLC | Clinic/Center | 6490 Mt Moriah Rd Ext Ste 202, Memphis, TN 38115-3841 | 2017-10-03 |
| 1841712452 | Saint Thomas Surgery Center New Salem, LLC | Clinic/Center | 2755 New Salem Highway, Murfreesboro, TN 37128-3712 | 2017-07-14 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT JULIET |
| Zip Code | 37122 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.