Provider Demographics
NPI:1447455928
Name:CENTRAL TENNESSEE NEUROLOGY PLLC
Entity type:Organization
Organization Name:CENTRAL TENNESSEE NEUROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SADIK
Authorized Official - Middle Name:
Authorized Official - Last Name:YESIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-474-2090
Mailing Address - Street 1:140 VO TECH DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-1329
Mailing Address - Country:US
Mailing Address - Phone:931-474-2090
Mailing Address - Fax:931-474-2093
Practice Address - Street 1:140 VO TECH DR
Practice Address - Street 2:SUITE 4
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1329
Practice Address - Country:US
Practice Address - Phone:931-474-2090
Practice Address - Fax:931-474-2093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD382402084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3732034Medicare ID - Type UnspecifiedMEDICARE GROUP ID
TN3893570Medicare ID - Type UnspecifiedMEDICARE ID