Organization Active NPI

Maury Regional Medical Group, Inc

  • Family Medicine Physician
  • Columbia, TN
National Provider Identifier
1205886264
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAURY REGIONAL MEDICAL GROUP, INC
Practice address
854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659
Phone
(931) 540-4255
Fax
(931) 490-4654
NPI assigned
May 11, 2006
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Mr. Nick A Swift
Title
Cfo
Phone
(931) 540-4255

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Physician Assistant 363A00000X
Acute Care Nurse Practitioner 363LA2100X
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X

Addresses

Primary practice location

854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659

Mailing address

854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659
Phone (931) 540-4255

Other identifiers 1

IdentifierTypeStateIssuer
3710089MedicaidTN

Other names 1

  • Family Health Group, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000252 TN Part B Supplier - Clinic/Group Practice 7911810742 Receives reassigned benefits from 243 practitioners
1 other NPI on this enrollment
Practice locations: Columbia, TN; Waynesboro, TN; Spring Hill, TN; Mt Plesant, TN; Mt Pleasant, TN; Lewisburg, TN; Hohenwald, TN; Ethridge, TN…

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

69 Main St
Lakeville, MA 02347
Phone (508) 947-4400

114 W 7th St
Columbia, TN 38401

1222 Trotwood Ave
Ste 302
Columbia, TN 38401
Phone (931) 388-5114

1222 Trotwood Ave
Ste 603
Columbia, TN 38401
Phone (931) 490-1295

1224 Trotwood Ave
Ste 402
Columbia, TN 38401

1224 Trotwood Ave
Ste 603
Columbia, TN 38401

1600 Nashville Hwy
#104
Columbia, TN 38401
Phone (931) 540-4210

1601 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-2802

2478 Nashville Hwy
Columbia, TN 38401
Phone (931) 398-6590

2478 Nashville Hwy
Ste A
Columbia, TN 38401
Phone (931) 388-9706

854 W James M Campbell Blvd
Ste 203
Columbia, TN 38401
Phone (931) 381-5801

927 N James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 380-9166

1090 N Ellington Pkwy
Ste 103
Lewisburg, TN 37091

1090 N Ellington Pkwy
Ste 204
Lewisburg, TN 37091
Phone (931) 270-3704

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

1003 Reserve Blvd
Ste 603
Spring Hill, TN 37174

5228 Main St
Spring Hill, TN 37174

103 Jv Mangubat Dr
Fl 3
Waynesboro, TN 38485
Phone (931) 722-2016

905 Andrew Jackson Dr
Ste A
Waynesboro, TN 38485
Phone (931) 722-5452

Practitioners & affiliated clinicians

Practitioners 252

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 252

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1205886264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-540-4255",
            "fax_number": "931-490-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-540-4255",
            "fax_number": "931-490-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURY REGIONAL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-540-4255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Group, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 20, 2024; 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.