Centennial Surgical Associates Llc

LBN: Centennial Surgical Associates Llc
Centennial Surgical Associates Llc is an health care organization with primary practice located at 397 Wallace Rd Suite C414, Nashville TN 37211-4854. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Centennial Surgical Associates Llc can be contacted via phone (615) 781-9499, or through Duncan, Gary via phone (615) 661-1611.

Contact Information

Primary practice address
397 Wallace Rd Suite C414 Nashville TN 37211-4854
Phone: (615) 781-9499
Fax: (615) 781-3882
Website:
Map and Directions
Authorized official contact:
Name: Duncan, Gary
Phone: (615) 661-1611

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1134213648
LBN Legal business name Centennial Surgical Associates Llc
DBA Doing business as
Authorized official Duncan, Gary
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Oct 12th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134213648 NPPES
Tennessee MEDICAID 1134213648
Tennessee MEDICAID 3736306

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