Organization Active NPI

Grandview Physician Group LLC

  • General Practice Physician
  • Jasper, TN
National Provider Identifier
1285769463
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GRANDVIEW PHYSICIAN GROUP LLC
Practice address
980 Highway 28
Suite 102
Jasper, TN 37347-3695
Phone
(423) 837-9500
Fax
(423) 837-3333
NPI assigned
Feb 21, 2007
Organization subpart
Yes
Parent organization
CAPELLA HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Mr. Eugene Anthony Fay
Title
Vice President
Phone
(615) 764-3007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

980 Highway 28
Suite 102
Jasper, TN 37347-3695

Mailing address

501 Corporate Centre Dr
Suite 200
Franklin, TN 37067-2659
Phone (615) 764-3000

Other names 1

  • GRANDVIEW CARDIOLOGY LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1285769463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CORPORATE CENTRE DR",
            "address_2": "SUITE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672659",
            "telephone_number": "615-764-3000",
            "fax_number": "615-764-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28",
            "address_2": "SUITE 102",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473695",
            "telephone_number": "423-837-9500",
            "fax_number": "423-837-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW PHYSICIAN GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPELLA HEALTHCARE, INC.",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-764-3007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANDVIEW CARDIOLOGY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jasper, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.