OrganizationActive
Phoenix Ambulatory Surgery Center LLC
NPI 1477067866 · Ambulatory Surgical Clinic/Center · Lebanon, TN
Provider details
- NPI number
- 1477067866
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Courtney Forbes, Billing Manager(615) 449-0990
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
101 Physicians Way
Lebanon, TN 37090-4135
Phone: (615) 521-9097
Approximate (ZIP-level) locationGet directions
Mailing address
101 Physicians Way
Lebanon, TN 37090-4135
Registry dates
- Enumerated
- 2017-11-22
- Last updated
- 2019-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.