Active NPI
Tullahoma Hospitalist Group, PLLC
- Hospitalist Physician
- Tullahoma, TN
National Provider Identifier
1255742946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- TULLAHOMA HOSPITALIST GROUP, PLLC
- Practice address
- 1801 N Jackson St
Tullahoma, TN 37388-8259 - Phone
- (931) 393-3000
- Fax
- (770) 874-5483
- NPI assigned
- May 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher Brian Durham
- Title
- President
- Phone
- (770) 874-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1801 N Jackson St
Tullahoma, TN 37388-8259
Mailing address
5665 New Northside Dr
Suite 320
Atlanta, GA 30328-5831
Phone (770) 874-5400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488499200000",
"number": "1255742946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR",
"address_2": "SUITE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285831",
"telephone_number": "770-874-5400",
"fax_number": "770-874-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373888259",
"telephone_number": "931-393-3000",
"fax_number": "770-874-5483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULLAHOMA HOSPITALIST GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-15",
"last_updated": "2017-03-03",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-874-5400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
- Tullahoma Hma LLC (Tennova Healthcare-Harton)
- Tullahoma Hma Physician Management, LLC (Tennova Pediatrics- Tullahoma)
- Tullahoma Hma Physician Management, LLC
- Tullahoma Hma, LLC (Harton Regional Medical Center)
- Tullahoma Home Care Inc
- Tullahoma Immediate Care PC
- Tullahoma Integrated Health, P.C.
- Tullahoma Internal Medicine, PLLC
- Tullahoma Neurodiagnostic Clinic PC
- Tullahoma Oral Surgery, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.