Active NPI
Stephen H Heffington, M.D.
- Urology Physician
- Columbia, TN
National Provider Identifier
1184784647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 38435
- Practice address
- 1222 Trotwood Ave
Suite 207
Columbia, TN 38401-6436 - Phone
- (931) 840-5088
- Fax
- (931) 840-5086
- NPI assigned
- Dec 12, 2006
- Last updated
- Jun 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 38435 | TN | Primary |
Addresses
Primary practice location
1222 Trotwood Ave
Suite 207
Columbia, TN 38401-6436
Mailing address
2304 Country Club LN
Suite 303B
Columbia, TN 38401-5172
Phone (931) 334-1455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4086717 | Other | TN | BCBS TN |
| 3725470 | Medicaid | TN | |
| 3894624 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38435 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Tennessee Urology Associates PC | Urology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Columbia, TN
- NPI 1700837341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1184784647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 COUNTRY CLUB LN",
"address_2": "SUITE 303B",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384015172",
"telephone_number": "931-334-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 TROTWOOD AVE",
"address_2": "SUITE 207",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016436",
"telephone_number": "931-840-5088",
"fax_number": "931-840-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFINGTON",
"first_name": "STEPHEN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "38435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4086717",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3725470",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3894624",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.