Individual provider Active NPI

Suzanne Chamblee Collier, MD

  • Specialist
  • Tullahoma, TN
National Provider Identifier
1134119142
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD21976 Issued in TN
Practice address
150 Jack Farrar LN
Tullahoma, TN 37388-2398
Phone
(931) 455-2766
Fax
(931) 455-2829
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD21976 TN Primary

Addresses

Primary practice location

150 Jack Farrar LN
Tullahoma, TN 37388-2398

Mailing address

PO Box 1867
Tullahoma, TN 37388-1867
Phone (931) 455-2766

Other identifiers 1

IdentifierTypeStateIssuer
3070113MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scollier@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000675 TN Practitioner - Gastroenterology 4688753353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suzanne C CollierGroup PAC ID 4486733151, 2 clinicians

Practice addresses (Care Compare)

150 Jack Farrar LN
Tullahoma, TN 37388-2398
Phone (931) 455-2766

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy144
Upper gastrointestinal (GI) endoscopy for acid reflux73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne C. Collier CurrentSince Apr 1, 2003 Accepting new patients
Internal Medicine Associates of Tullahoma PC PastSince Aug 1, 2000 Accepting new patients

Locations

150 Jack Farrar Ln
Tullahoma, TN 37388
Phone (931) 455-2766

725 Kings Ln
Tullahoma, TN 37388
Phone (931) 455-1976

Interoperability endpoints

  • Direct secure messaging: scollier@directaddress.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1134119142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1867",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373881867",
            "telephone_number": "931-455-2766",
            "fax_number": "931-455-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JACK FARRAR LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882398",
            "telephone_number": "931-455-2766",
            "fax_number": "931-455-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "SUZANNE",
        "middle_name": "CHAMBLEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD21976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070113",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scollier@directaddress.net",
            "affiliation": "N",
            "address_1": "150 Jack Farrar Ln",
            "city": "Tullahoma",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373882398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.