CLARKSVILLE SURGERY CENTER LLC NPI 1487693123

NPI Information

  • NPI: 1487693123
  • Provider Name: CLARKSVILLE SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 793 WEATHERLY DR
    CLARKSVILLE, TN
    ZIP 37043
  • Phone: (931) 542-2915

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NPI Details

CLARKSVILLE SURGERY CENTER LLC is an ambulatory surgical clinic center in Clarksville, TN. CLARKSVILLE SURGERY CENTER LLC NPI is 1487693123. The provider is registered as an organization entity type.

The provider's business location address is:

793 WEATHERLY DR
CLARKSVILLE, TN
ZIP 37043-942
Phone: (931) 542-2915
Fax: (931) 648-1816

The provider's authorized official is Scott Montgomery .
The authorized official title is Authorized Official and has the following contact phone number (931) 645-1373.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Repair of brow paralysis (HCPCS:67900)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Removal of up to 1/4 of eyelid margin and repair of eyelid (HCPCS:67961)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Snip incision of tear duct at inner corner of eye (HCPCS:68440)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 9/22/2025.

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
1261QM1300XClinic/CenterMulti-Specialty0000000095TENNESSEENo
2261QA1903XClinic/CenterAmbulatory Surgical0000000095TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13119020OTHERTENNESSEEBLUE CROSS
23119020MEDICAIDTENNESSEE

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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