MEDICARE: MIDDLE TENNESSEE NEUROSURGERY, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1457202053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDDLE TENNESSEE NEUROSURGERY, PC

Provider Business Mailing Address
First Line	:	302 OLD LEBANON DIRT RD FL 2
Second Line	:
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2386
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 OLD LEBANON DIRT RD FL 2
Second Line	:
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2386
Country	:	US
Telephone Number	:	615-417-7334
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MD
Name	:	HOLLY A. ZYWICKE
Credential	:	MD
Telephone Number	:	205-910-3958

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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