Provider Demographics
NPI:1851306682
Name:NEUROSURGICAL GROUP OF NASHVILLE,PC
Entity Type:Organization
Organization Name:NEUROSURGICAL GROUP OF NASHVILLE,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:P
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-284-7840
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:STE 106
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2131
Mailing Address - Country:US
Mailing Address - Phone:615-284-7840
Mailing Address - Fax:615-284-7650
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:STE 106
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-7840
Practice Address - Fax:615-284-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN014007207T00000X
TN39694207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3702811Medicaid
TN3702811Medicaid
TN3702811Medicare ID - Type Unspecified