| Columbia Medical Group-southern Hills Inc | |
|
397 Wallace Rd Bldg C Suite 100 Nashville TN 37211-4854 | |
| (615) 834-6166 | |
| (615) 781-9755 |
| Full Name | Columbia Medical Group-southern Hills Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 397 Wallace Rd Bldg C, Nashville, Tennessee |
| Authorized Official Name and Position | Daniel Sykes (VICE PRESIDENT) |
| Authorized Official Contact | 6153426878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Medical Group-southern Hills Inc 397 Wallace Rd Bldg C Suite 100 Nashville TN 37211-4854 Ph: (615) 834-6166 | Columbia Medical Group-southern Hills Inc 397 Wallace Rd Bldg C Suite 100 Nashville TN 37211-4854 Ph: (615) 834-6166 |
| NPI Number | 1700873171 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 10/17/2017 |
| Medicare PECOS PAC ID | 0244225621 |
|---|---|
| Medicare Enrollment ID | O20040415001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700873171 | NPI | - | NPPES |
| 3708815 | Medicaid | TN | |
| CE1731 | Other | TN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Malek H Al-omary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790833267 PECOS PAC ID: 8628043122 Enrollment ID: I20040828000103 |
| Provider Name | Robert G Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013902782 PECOS PAC ID: 2769428747 Enrollment ID: I20050629001045 |
| Provider Name | Meredith M Schweitzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699861559 PECOS PAC ID: 8022110618 Enrollment ID: I20070228000528 |
| Provider Name | Shannon Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467501999 PECOS PAC ID: 4284734336 Enrollment ID: I20070703000270 |
| Provider Name | Christopher David Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063407351 PECOS PAC ID: 4183758576 Enrollment ID: I20100820000706 |
| Provider Name | George Landis Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477548154 PECOS PAC ID: 9335273671 Enrollment ID: I20100823000313 |
| Provider Name | Matthew Lorenz Brust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467447664 PECOS PAC ID: 6507981933 Enrollment ID: I20100909000015 |
| Provider Name | Tracy Jean Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174580286 PECOS PAC ID: 9638073489 Enrollment ID: I20101019001053 |
| Provider Name | Jonathan Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235419904 PECOS PAC ID: 8628245172 Enrollment ID: I20120124000469 |
| Provider Name | Kelly D Odum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841572922 PECOS PAC ID: 5698938157 Enrollment ID: I20120519000050 |
| Provider Name | Daniel R Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922241959 PECOS PAC ID: 6406025501 Enrollment ID: I20120829000898 |
| Provider Name | Chae Ko |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871721563 PECOS PAC ID: 7214182625 Enrollment ID: I20130820000541 |
| Provider Name | Gabriela A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360825 PECOS PAC ID: 9931425634 Enrollment ID: I20150223001508 |
| Provider Name | Cecilia E Porcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336572650 PECOS PAC ID: 9638303340 Enrollment ID: I20150407002231 |
| Provider Name | John M Ducey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346507423 PECOS PAC ID: 6507187440 Enrollment ID: I20151014003312 |
| Provider Name | Autumn N Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710345640 PECOS PAC ID: 4587954698 Enrollment ID: I20160615001295 |
| Provider Name | Curtis Franke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265449524 PECOS PAC ID: 4082615927 Enrollment ID: I20210608000519 |
| Provider Name | Hunter Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295230183 PECOS PAC ID: 5991033045 Enrollment ID: I20210924003045 |
| Provider Name | Courtney Halista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417337965 PECOS PAC ID: 1456628494 Enrollment ID: I20220615000703 |
| Provider Name | Rainey Pirtle Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073198891 PECOS PAC ID: 4183023419 Enrollment ID: I20220712001468 |
| Provider Name | Shuaib Mohyuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285682211 PECOS PAC ID: 6204991995 Enrollment ID: I20220919002315 |
| Provider Name | Prakhya Bhatnagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013470509 PECOS PAC ID: 2466787700 Enrollment ID: I20220927003577 |
| Provider Name | Max Crouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548827124 PECOS PAC ID: 5294060521 Enrollment ID: I20221012000336 |
| Provider Name | Emily Marie Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609587088 PECOS PAC ID: 1658744594 Enrollment ID: I20230224000111 |
| Provider Name | Afi Mansa Semenya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861786972 PECOS PAC ID: 0143542233 Enrollment ID: I20230505000239 |
| Provider Name | Elizabeth Marie Tennant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629530548 PECOS PAC ID: 4587032511 Enrollment ID: I20231117003219 |
| Provider Name | Anthony Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164460200 PECOS PAC ID: 0345243382 Enrollment ID: I20231211002661 |
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