Organization Active NPI

Ross E. Collins, Jr. M.D.

  • Psychiatry Physician
  • Collierville, TN
National Provider Identifier
1245275353
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0000016359 Issued in TN
Legal business name
ROSS E. COLLINS, JR. M.D.
Practice address
311 Poplar View LN W
Collierville, TN 38017-3175
Phone
(901) 854-8727
Fax
(901) 854-8595
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Ross E Collins Jr., M.D.
Title
Owner
Phone
(901) 854-8727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD0000016359 TN Primary

Addresses

Primary practice location

311 Poplar View LN W
Collierville, TN 38017-3175

Mailing address

311 Poplar View LN W
Collierville, TN 38017-3175
Phone (901) 854-8727

Other identifiers 1

IdentifierTypeStateIssuer
00010869MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Eddie Jean Truelove2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1245275353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 POPLAR VIEW LN W",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173175",
            "telephone_number": "901-854-8727",
            "fax_number": "901-854-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 POPLAR VIEW LN W",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173175",
            "telephone_number": "901-854-8727",
            "fax_number": "901-854-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS E. COLLINS, JR. M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-854-8727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000016359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00010869",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.