Healthcare Provider Details

I. General information

NPI: 1245032374
Provider Name (Legal Business Name): TENNESSEE ORTHOPAEDIC ALLIANCE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7116 NOLENSVILLE RD STE 704
NOLENSVILLE TN
37135-3041
US

IV. Provider business mailing address

PO BOX 306556
NASHVILLE TN
37230-6556
US

V. Phone/Fax

Practice location:
  • Phone: 615-321-0200
  • Fax:
Mailing address:
  • Phone: 865-243-8183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY MCSWAIN
Title or Position: CRENEDTIALING CORDINATOR
Credential:
Phone: 865-243-8183