PHOENIX AMBULATORY SURGERY CENTER LLC
NPI 1477067866
Clinic/Center - Ambulatory Surgical in Lebanon, TN

Active since November 22, 2017
101 PHYSICIANS WAY, LEBANON, TN 37090(615) 521-9097 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2019, Nov 22, 2017 (2 updates tracked since 2017).

About Phoenix Ambulatory Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX AMBULATORY SURGERY CENTER LLC (NPI 1477067866) is a healthcare organization registered as an ambulatory surgical in Lebanon, Tennessee and active in the NPI registry since November 2017. The organization lists Courtney Dismukes Forbes, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1477067866
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHOENIX AMBULATORY SURGERY CENTER LLC
Location Address101 PHYSICIANS WAYLebanon, TN 37090-4135
Mailing Address101 Physicians WayLebanon, TN 37090-4135 · (615) 444-2320
Organization SubpartNo
Authorized OfficialCourtney Dismukes ForbesBilling Manager · (615) 449-0990
Enumeration DateNovember 22, 2017
Last NPPES UpdateJanuary 10, 20192 updates tracked since enumeration
NPI 1477067866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
101 PHYSICIANS WAY, Lebanon, TN 37090

Other Identifiers 1

MedicaidPENDINGTN

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
101 PHYSICIANS WAY, SUITE 115
LEBANON, TN 37090
Nurse Anesthetist, Certified Registered
101 PHYSICIANS WAY
LEBANON, TN 37090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Ambulatory Surgery Center LLC's NPI number?

The NPI number for Phoenix Ambulatory Surgery Center LLC is 1477067866. It was assigned to this organization in the NPPES registry on November 22, 2017.

Where is Phoenix Ambulatory Surgery Center LLC located?

Phoenix Ambulatory Surgery Center LLC is located at 101 Physicians Way, Lebanon, TN 37090. The listed phone number is (615) 521-9097.

What is Phoenix Ambulatory Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Phoenix Ambulatory Surgery Center LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Phoenix Ambulatory Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Ambulatory Surgery Center LLC was last updated on January 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.