Privia Medical Group Tennessee LLC
Orthopaedic Surgery, Sports Medicine in Spring Hill, TN. Organization (NPI-2).
NPI number1013674035
StatusActive
Last updated in NPPESJul 13, 2022
Details
- NPI
- 1013674035
- Entity type
- Organization (NPI-2)
- Legal business name
- Privia Medical Group Tennessee LLC
- Organization subpart
- No
- Enumeration date
- Nov 24, 2021
- Certification date
- Jul 13, 2022
- Last updated
- Jul 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | Yes |
Other names
- Sports Ortho Urgent Care (Doing Business As)
Practice location
4816 Main St Ste LSpring Hill, TN 37174-3254
Phone 571-982-6636
Mailing address
950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Phone 571-982-6636
Authorized official
Mary Roller
Associate Director/Enrollment
7703125226
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Sports Medicine (Orthopaedic Surgery) Physician providers in Spring Hill, TN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.