Healthcare Provider Details
I. General information
NPI: 1093877557
Provider Name (Legal Business Name): TENNESSEE SURGICAL SPECIALISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/14/2006
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9217 PARK WEST BLVD SUITE C-2
KNOXVILLE TN
37923-4404
US
IV. Provider business mailing address
PO BOX 22010
KNOXVILLE TN
37933-0010
US
V. Phone/Fax
- Phone: 865-218-7470
- Fax: 865-218-7471
- Phone: 865-218-7470
- Fax: 865-218-7471
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TERRY
LEE
ADAMS
Title or Position: CEO
Credential: M.D.
Phone: 865-218-7470