Healthcare Provider Details

I. General information

NPI: 1013595040
Provider Name (Legal Business Name): ENCORE SURGICAL INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8132 COUNTRY VILLAGE DRIVE STE 102
CORDOVA TN
38016
US

IV. Provider business mailing address

1550 W MCEWEN DR STE 300
FRANKLIN TN
37067-1770
US

V. Phone/Fax

Practice location:
  • Phone: 870-822-0231
  • Fax:
Mailing address:
  • Phone: 901-207-8152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY HALL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 901-207-8152