NPIMap

Organization Active NPI

Murfreesboro Medical Clinic, P.a.

  • Endoscopy Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1013782499
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
MURFREESBORO MEDICAL CLINIC, P.A.
Practice address
3325 Shored Road
Murfreesboro, TN 37127
Phone
(615) 893-4480
NPI assigned
Nov 16, 2023
Organization subpart
Yes
Parent organization
MURFREESBORO MEDICAL CLINIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Gharing
Title
Credentialing Coordinator
Phone
(615) 867-7925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

3325 Shored Road
Murfreesboro, TN 37127

Mailing address

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 893-4480

Other names 1

  • Endoscopy Center of Murfreesboro Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212003372 TN Part B Supplier - Ambulatory Surgical Center 4789589227 Practice locations: Murfreesboro, TN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Murfreesboro Medical Clinic PA Dba Endoscopy Center of Murfreesboro Medical ClinicCCN 44C0001216
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Murfreesboro Med Clinic3 organizations share this tax ID, including this one
Part of
Murfreesboro Med Clinic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2042 New Lascassas Hwy
Ste A1
Murfreesboro, TN 37130

Practitioners & affiliated clinicians

Practitioners 200

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1013782499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292598",
            "telephone_number": "615-893-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 SHORED ROAD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37127",
            "telephone_number": "615-893-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURFREESBORO MEDICAL CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MURFREESBORO MEDICAL CLINIC, P.A.",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "GHARING",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "615-867-7925"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endoscopy Center of Murfreesboro Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.