TSU SPORTS MEDICINE - NPI 1912387226 - Orthopaedic Surgery in Nashville, TN

Q: What is Tennessee State University's NPI number?

The NPI number for Tennessee State University is 1912387226. It was assigned to this organization in the NPPES registry on June 2, 2015. The provider is doing business as Tsu Sports Medicine.

Q: What is Tennessee State University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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About Tsu Sports Medicine NPPES

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

TSU SPORTS MEDICINE (NPI 1912387226) is a healthcare organization registered as an orthopaedic surgery in Nashville, Tennessee and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1912387226

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameTENNESSEE STATE UNIVERSITY

Location Address3500 JOHN A MERRITT BLVDNashville, TN 37209-1500

Mailing AddressPo Box 650850Dallas, TX 75265-0850 · (800) 555-9073 · Fax (972) 367-3452

Phone(571) 535-5979

Fax(972) 367-3452

Organization SubpartNo

Authorized OfficialMouzon BassAgent · (972) 367-4845

Enumeration DateJune 2, 2015

✔ NPI 1912387226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

3500 JOHN A MERRITT BLVD, Nashville, TN 37209

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Other Names 1

Doing Business AsTsu Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2300248

Tennessee State University · Nashville, TN

Active · expires Mar 5, 2028

CLIA Number44D2300248

Laboratory TypeSchool/Student Health Service

Certificate Effective DateMarch 6, 2026

Certificate Expiration DateMarch 5, 2028

Laboratory DirectorDorsha James

Laboratory Phone(615) 963-5291

Laboratory LocationTennessee State University3500 John A Merritt Blvd Kean Hall, Room 304, Nashville, TN 37209

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

PROF. JANICE M WILLIAMS RDH

Dental Hygienist