NPIMap

Organization Active NPI

Maury Regional Hospital

Doing business as Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
National Provider Identifier
1023038122
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MAURY REGIONAL HOSPITAL
Doing business as
Lewis Ambulatory Care Center
Practice address
617 W Main St
Hohenwald, TN 38462-1355
Phone
(931) 796-6101
Fax
(931) 796-6203
NPI assigned
Jul 20, 2006
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MAURY REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Gregory A Whitlock
Title
VP Finance/It
Phone
(931) 540-4212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

617 W Main St
Hohenwald, TN 38462-1355

Mailing address

PO Box 100054
Atlanta, GA 30348-0054
Phone (931) 381-1111

Other names 1

  • Lewis Ambulatory Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330001709 TN Part B Supplier - Clinic/Group Practice 4688569718 Receives reassigned benefits from 54 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewisburg, TN; Waynesboro, TN; Spring Hill, TN; Hohenwald, TN; Ethridge, TN; Columbia, TN; Collinwood, TN
O20080326000989 TN Part A Provider - Hospital 4688569718 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chapel Hill, TN; Spring Hill, TN; Pulaski, TN; Mt Pleasant, TN; Hohenwald, TN; Ethridge, TN; Columbia, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023038122. Details of each certification follow.

Hospital certification: CCN 440073

Legal name
MAURY REGIONAL HOSPITAL
Doing business as
MAURY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 24, 2006
Beds
258
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
1224 Trotwood Ave
Columbia, TN 38401-4802
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Maury Regional HospitalCCN 440073 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Maury County HSP-DME16 organizations share this tax ID, including this one
Part of
Maury County HSP-DME

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard D Schefke Individual W-2 Managing EmployeeAd; Mar 25, 2024
Operational/Managerial ControlAssociate Chief Financial Officer Mar 25, 2025
Maury County Government Organization, Columbia, TN Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Gregory Whitlock Individual Corporate DirectorVP Finance & It Apr 2, 2018 100%
W-2 Managing EmployeeVP Finance & It Apr 2, 2018

Practitioners & affiliated clinicians

Practitioners 139

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 139

Affiliated clinicians 557

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 557

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1023038122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303480054",
            "telephone_number": "931-381-1111",
            "fax_number": "931-540-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W MAIN ST",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384621355",
            "telephone_number": "931-796-6101",
            "fax_number": "931-796-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURY REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAURY REGIONAL HOSPITAL",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCE/IT",
        "authorized_official_telephone_number": "931-540-4212"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Ambulatory Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lewis Ambulatory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hohenwald, TN

Sources for this page

Verify at the official NPI Registry.