OrganizationActive
Manchester Surgical Assoc
NPI 1205912102 · Surgery Physician · Manchester, TN
Provider details
- NPI number
- 1205912102
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- J Sullivan, General Surgeon(931) 728-5879
- License
- DO0000000201 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1239 Mcarthur Drive
Manchester, TN 37355-2423
Phone: (931) 728-5879
Fax: (931) 728-5881
Street-level locationGet directions
Mailing address
Po Box 1228
Manchester, TN 37349-1228
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2008-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.