Physynergy, LLC
Anesthesiology in Shelbyville, TN. Organization (NPI-2).
NPI number1124455969
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124455969
- Entity type
- Organization (NPI-2)
- Legal business name
- Physynergy, LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2013
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- 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 |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | AL | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | AL | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | AL | |
| 367H00000X | Anesthesiologist Assistant | – | AL |
Practice location
2835 Highway 231 NShelbyville, TN 37160-7327
Phone 256-429-5071 · Fax 256-429-4674
Mailing address
Po Box 52404Lafayette, LA 70505-2404
Phone 706-860-2701 · Fax 706-860-7973
Authorized official
Timothy Killen Adams
President
2564295071
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