Healthcare Provider Details

I. General information

NPI: 1750153540
Provider Name (Legal Business Name): NASHVILLE MIDTOWN SURGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 28TH AVE N STE 101
NASHVILLE TN
37209-4298
US

IV. Provider business mailing address

500 28TH AVE N STE 101
NASHVILLE TN
37209-4298
US

V. Phone/Fax

Practice location:
  • Phone: 615-866-2799
  • Fax: 615-866-2797
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADAM S PITTS
Title or Position: CEO
Credential: MD
Phone: 615-944-0475