NPIMap

Organization Active NPI

Maury Regional Hospital

  • Federally Qualified Health Center (FQHC)
  • Columbia, TN
National Provider Identifier
1194378083
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MAURY REGIONAL HOSPITAL
Practice address
1222 Trotwood Ave Ste 603
Columbia, TN 38401-6410
Phone
(931) 490-1295
Fax
(931) 490-1298
NPI assigned
Jul 19, 2019
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1222 Trotwood Ave Ste 603
Columbia, TN 38401-6410

Mailing address

PO Box 100054
Atlanta, GA 30348-0054
Phone (931) 796-4901

Other practice location 1

1003 Reserve Blvd Ste 220
Spring Hill, TN 37174-3246
Phone (931) 489-2650

Other names 1

  • Columbia OB GYN Primary Care Network Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Maury Regional Hospital16 organizations share this tax ID, including this one
Part of
Maury Regional Hospital

Other organizations with this tax ID 15

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

View all 15

Locations

1222 Trotwood Ave
Ste 603
Columbia, TN 38401
Phone (931) 381-9338

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1194378083",
    "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": "931-796-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 603",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016410",
            "telephone_number": "931-490-1295",
            "fax_number": "931-490-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Reserve Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371743246",
            "country_code": "US",
            "telephone_number": "931-489-2650",
            "fax_number": "931-489-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAURY REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAURY REGIONAL HOSPITAL",
        "enumeration_date": "2019-07-19",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia OB GYN Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbia OB GYN Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.