TOTAL SPINE SURGICAL CENTER LLC (NPI# 1801031703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801031703 |
| Entity Type | Organization |
| Organization Name | TOTAL SPINE SURGICAL CENTER LLC |
| Practice Address |
1455 College Ave Jackson AL 36545-2410 |
| Practice Telephone | 2512467333 |
| Mailing Telephone | 2512467333 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | HUEY KIDD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3346365311 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1455 COLLEGE AVE |
| City | JACKSON |
| State | AL |
| Zip Code | 36545-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487720355 | Alabama Orthopaedic Clinic, PC | Orthopaedic Surgery | 220 Hospital Ave, Jackson, AL 36545 | 2006-11-24 |
| 1871094300 | Kristin Ford Anderson | Physical Therapist | 1711 College Ave, Jackson, AL 36545 | 2018-02-21 |
| 1447567250 | Jamal Randall | Physical Therapist | 1711 College Avenue, Jackson, AL 36545-0037 | 2010-09-01 |
| 1538186846 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4206 N College Ave, Jackson, AL 36545-2019 | 2006-07-16 |
| 1902987399 | Wal-mart Stores East, Lp | Technician/Technologist | 4206 N College Ave, Jackson, AL 36545-2019 | 2006-10-18 |
| 1285671792 | Aseracare Hospice - Jackson, LLC | Hospice Care, Community Based | 4115 N College Ave, Jackson, AL 36545-2022 | 2006-06-01 |
| 1396353363 | Health Now Jackson, LLC | Durable Medical Equipment & Medical Supplies | 3802 N College Ave Ste 107, Jackson, AL 36545-2046 | 2020-07-16 |
| 1245342070 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 215 Walker Springs Rd, Jackson, AL 36545-2136 | 2006-08-31 |
| 1851917504 | Medevac Alabama Inc | Ambulance | 3738 N College Ave, Jackson, AL 36545-2225 | 2020-06-18 |
| 1497739007 | Brian Keith Graham | Chiropractor | 1120 College Ave, Jackson, AL 36545-2405 | 2005-12-06 |
| Find all providers in zip 36545 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366991523 | Jackson State University | General Practice | 1400 Jr Lynch St, Jackson, MS 39217-0002 | 2016-09-29 |
| 1124475371 | Donald Lafont | General Practice | 331 Edenwood Dr, Jackson, TN 38301-3432 | 2016-05-18 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| 1457665333 | Teton County Hospital District | General Practice | Box 428 625 E Broadway Ave, Jackson, WY 83001-8642 | 2010-08-03 |
| 1851524730 | Byrd Lamar Payne | General Practice | 1205 Lyncrest Ave, Jackson, MS 39202-2106 | 2009-08-26 |
| 1992974018 | Visiting Doctors PC | General Practice | 2108 4th St Ste A, Jackson, MI 49203-4518 | 2008-02-22 |
| 1821127093 | Peter Thomas Gardner | General Practice | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2007-03-05 |
| 1154491579 | Bruce Hayse | General Practice | 269 West Broadway, Jackson, WY 83001-1884 | 2006-11-09 |
| 1104880558 | Lorna Gaye Pinson | General Practice | 3235 East Michigan Ave, Jackson, MI 49202 | 2006-04-13 |
| 1639146814 | Melanie Hoppers | General Practice | 2075 Pleasant Plains Extended, Jackson, TN 38305 | 2006-03-07 |
| Find all providers in JACKSON | ||||
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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.