NPIMap

Organization Active NPI

Maury Regional Hospital Marshall Medical Center

Doing business as MRMG Mt. Pleasant

  • Rural Health Clinic/Center
  • Mt Pleasant, TN
National Provider Identifier
1265051577
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
Doing business as
MRMG Mt. Pleasant
Practice address
200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714
Phone
(931) 379-5821
Fax
(931) 379-5867
NPI assigned
Apr 16, 2020
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714

Mailing address

PO Box 100054
Atlanta, GA 30348-0054
Phone (931) 379-5821

Other names 1

  • MRMG Mt. Pleasant Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200825000639 TN Part A Provider - Rural Health Clinic 6406813781 Practice locations: Mt Pleasant, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265051577. Details of each certification follow.

Rural health clinic certification: CCN 443467

Legal name
MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
Doing business as
MRMG MT PLEASANT
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 26, 2020
Last certification
Jun 26, 2020
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Incorporated
Mar 13, 1995 in TN
Enrollment address
200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714
Related CCNs
441309

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Maury Regional Hospital Marshall Medical Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard D Schefke Individual Corporate DirectorAssociate Chief Financial Officer Mar 25, 2025
Maury Regional Hospital Organization, Columbia, TN Non-profit 5% Or Greater Direct Ownership Interest Jun 26, 2020 100%
Gregory Whitlock Individual Corporate DirectorVP Finance & It Apr 2, 2018
W-2 Managing EmployeeVP Finance & It Apr 2, 2018

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
MRMG MobColumbia, TN, CCN 443463 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 26, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1265051577",
    "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": "931-379-5821",
            "fax_number": "931-379-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CROSS BRIDGES RD",
            "city": "MT PLEASANT",
            "state": "TN",
            "postal_code": "384741714",
            "telephone_number": "931-379-5821",
            "fax_number": "931-379-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRMG Mt. Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, TN

Sources for this page

Verify at the official NPI Registry.