Encore Surgical Institute LLC
Clinic/Center, Ambulatory Surgical in Cordova, TN. Organization (NPI-2).
NPI number1013595040
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1013595040
- Entity type
- Organization (NPI-2)
- Legal business name
- Encore Surgical Institute LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
| 261QP3300X | Clinic/Center, Pain | – | – |
Practice location
8132 Country Village DriveSte 102
Cordova, TN 38016
Phone 870-822-0231
Mailing address
1550 W McEwen Dr Ste 300Franklin, TN 37067-1770
Phone 901-207-8152
Authorized official
Jeffrey Hall
Medical Director
9012078152
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