CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC
NPI 1497263941
Oral & Maxillofacial Surgery in Clarksville, TN
NPI Status: Active since January 18, 2018
Contact Information
1275 PARKWAY PLACE
CLARKSVILLE, TN
ZIP 37042
Phone: (931) 552-3292
Fax: (931) 552-3243
- Organization
- Oral & Maxillofacial Surgery
- CLIA Number: 44D2280511
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-19-2027
About CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC
This page provides the complete NPI Profile along with additional information for Cumberland Surgical Arts And Associates, Pllc, a provider established in Clarksville, Tennessee operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1497263941 assigned on January 2018. The practitioner's primary taxonomy code is 204E00000X with license number MD0000040738 (TN). The provider is registered as an organization and their NPI record was last updated 2 years ago. Cumberland Surgical Arts And Associates, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. George S Lee M.d,d.d.s (Doctor)
- NPI
- 1497263941
- Provider Name
- CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC
- Entity Type
- Organization
- Location Address
- 1275 PARKWAY PLACE CLARKSVILLE, TN 37042
- Location Phone
- (931) 552-3292
- Location Fax
- (931) 552-3243
- Mailing Address
- 2285 RUDOLPHTOWN ROAD SUITE 200 CLARKSVILLE, TN 37043
- Mailing Phone
- (931) 552-3292
- Mailing Fax
- (931) 552-3243
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-18-2018
- Last Update Date
- 11-07-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD0000040738
- License State
- TN
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist | DS0000008427 (TN) |
| 2 | 1223S0112X | Dental Providers | Dentist | DS0000008953 (TN) |
| 3 | 1223S0112X | Dental Providers | Dentist | DS0000009847 (TN) |
| 4 | 1223S0112X | Dental Providers | Dentist | DS0000005220 (TN) |
| 5 | 1223S0112X | Dental Providers | Dentist | DN011393 (GA) |
| 6 | 1223S0112X | Dental Providers | Dentist | 254190 (MS) |
| 7 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 50700 (KY) |
| 8 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | MD0000040738 (TN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2280511
- Facility Type
- Physician Office
- Certificate Effective Date
- April 20, 2025
- Certificate Expiration Date
- April 19, 2027
- Laboratory Director
- JASON S. LILLY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cumberland Surgical Arts And Associates, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 6 | 3 | 9 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 6 | 6 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 6 + 6 + 9 + 8 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1497263941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497263941, enumerated in the NPI registry as an "organization" on January 18, 2018
The provider is located at 1275 Parkway Place Clarksville, Tn 37042 and the phone number is (931) 552-3292
This medical organization specializes in Oral & Maxillofacial Surgery with taxonomy code 204E00000X
The provider's CLIA number is 44D2280511 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 18, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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