KNOXVILLE SPINE SURGERY LLC NPI 1093570426

NPI Information

  • NPI: 1093570426
  • Provider Name: KNOXVILLE SPINE SURGERY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 44D2307000
  • Address: 1128 E WEISGARBER RD STE 100
    KNOXVILLE, TN
    ZIP 37909
  • Phone: (865) 524-1869

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NPI Details

KNOXVILLE SPINE SURGERY LLC is an ambulatory surgical clinic center in Knoxville, TN. KNOXVILLE SPINE SURGERY LLC NPI is 1093570426. The provider is registered as an organization entity type.

The provider's business location address is:

1128 E WEISGARBER RD STE 100
KNOXVILLE, TN
ZIP 37909-677
Phone: (865) 524-1869

The provider's authorized official is Josh Rudd .
The authorized official title is Administator and has the following contact phone number (865) 524-1869.

The CLIA number assigned to this NPI record is 44D2307000 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2024 and was last updated on 2/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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