GREEN SURGERY CENTER LLC (NPI# 1811090350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811090350 |
| Entity Type | Organization |
| Organization Name | GREEN SURGERY CENTER LLC |
| Practice Address |
854 Lone Oak Drive Gallatin TN 37066 |
| Practice Telephone | 6154521602 |
| Practice Fax Number | 6154510139 |
| Mailing Telephone | 6154521602 |
| Mailing Fax Number | 6154510139 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | MICHAEL EDWARD GREEN (OWNER) |
| Authorized Official Telephone | 6154521602 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000000110 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TENNCARE SELECT | 3158726 | 01 | |
| TN | 3288441 | 05 | |
| AETNA | 7957161 | 01 | |
| TN | BCBS | 3158726 | 01 |
| CIGNA | 8356899 | 01 | |
| MEDICARE RAILROAD | 490004734 | 01 |
| Street Address |
854 LONE OAK DRIVE |
| City | GALLATIN |
| State | TN |
| Zip Code | 37066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053414581 | Michael E Green | Ophthalmology | 854 Lone Oak Drive, Gallatin, TN 37066 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748235 | Results-ast Jv, LLC | Physical Therapist | 110 St. Blaise Road, Suite 101, Gallatin, TN 37066 | 2020-10-21 |
| 1306445531 | Results-ast Jv, LLC | Physical Therapist | 132 North Belvedere Dr, Gallatin, TN 37066 | 2020-10-19 |
| 1063065969 | Tennessee Dental Professionals PC | Dentist | 2069 Nashville Pike, Gallatin, TN 37066 | 2019-07-19 |
| 1912478108 | Jason Holland | Psychologist | 106 Public Sq Ste 105, Gallatin, TN 37066 | 2018-12-16 |
| 1619463148 | Perkins Greenlea LLC | Pharmacy | 879 Greenlea Blvd, Suite 101, Gallatin, TN 37066 | 2018-07-09 |
| 1316432792 | Ann Elizabeth Willert | Counselor | 322 Sumner Hall Drive, Gallatin, TN 37066 | 2018-06-27 |
| 1255852661 | Samantha Jo Kelly | Dentist | 1710 Nashville Pike # 102, Gallatin, TN 37066 | 2017-07-06 |
| 1265880470 | Mallory Jane Hackbarth | Dentist | 923 Nashville Pike A, Gallatin, TN 37066 | 2016-05-27 |
| 1124493697 | Jennifer Stroud | Counselor | 273 Big Station Camp Blvd, 30-206, Gallatin, TN 37066 | 2015-12-09 |
| 1982075651 | Lacefield Enterprises, Inc | Speech-Language Pathologist | 1010 Broughton Place, Gallatin, TN 37066 | 2015-10-07 |
| Find all providers in zip 37066 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427152073 | Patient Partners LLC | Clinic/Center | 890 N Bluejay Way, Gallatin, TN 37066-4559 | 2006-09-12 |
| 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 | ||||
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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.