Organization Active NPI

Copilotiq, PC

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1316527203
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COPILOTIQ, PC
Practice address
40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902
Phone
(615) 380-4003
NPI assigned
Apr 13, 2021
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. Alice Greene, MD
Title
Physician
Phone
(615) 380-4003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902

Mailing address

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902
Phone (615) 380-4003

Other practice location 1

1430 Gadsden Hwy
Birmingham, AL 35235-3103
Phone (615) 380-4003

Other practice location 2

3343 Peachtree Rd NE
Atlanta, GA 30326-1085
Phone (615) 380-4003

Other practice location 3

1910 Pacific Ave Ste 2000
Dallas, TX 75201-4540
Phone (615) 380-4003

Other practice location 4

6271 Saint Augustine Rd
Jacksonville, FL 32217-2523
Phone (615) 380-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, GA, NJ, DC, TX, AL, NC, SC, OH, WA, PA, IN, KY14 enrollments

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
O20210825002791 TN Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 8 practitioners
Practice locations: Nashville, TN
O20220225000009 FL Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 21 practitioners
Practice locations: Jacksonville, FL; Panama City, FL
O20220322001910 GA Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 15 practitioners
Practice locations: Atlanta, GA; Statesboro, GA
O20220603000759 NJ Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 1 practitioner
Practice locations: Colts Neck, NJ
O20220630001914 DC Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 5 practitioners
Practice locations: MC Lean, VA
O20220701001200 TX Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 18 practitioners
Practice locations: Dallas, TX
O20220805002706 AL Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 10 practitioners
Practice locations: Birmingham, AL
O20230112003014 NC Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 12 practitioners
Practice locations: Charlotte, NC
O20230113000447 SC Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 4 practitioners
Practice locations: Mount Pleasant, SC
O20230201000886 OH Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 10 practitioners
Practice locations: Columbus, OH
O20230202000354 WA Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA
O20230913002389 PA Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 7 practitioners
Practice locations: Exton, PA
O20230922000452 IN Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 6 practitioners
Practice locations: Wheatland, IN
O20240315000656 KY Part B Supplier - Clinic/Group Practice 7810392040 Receives reassigned benefits from 7 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1430 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 451-2093

12724 Gran Bay Pkwy W
Ste 410
Jacksonville, FL 32258
Phone (612) 408-1431

191 Peachtree St NE
Atlanta, GA 30303

6101 N Keystone Ave
Indianapolis, IN 46220
Phone (317) 259-7552

1201 Dublin Rd
Ste 563
Columbus, OH 43215

600 12th Ave S
Apt 1000
Nashville, TN 37203
Phone (615) 412-8777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1316527203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155902",
            "telephone_number": "615-380-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155902",
            "telephone_number": "615-380-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Gadsden Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353103",
            "country_code": "US",
            "telephone_number": "615-380-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3343 Peachtree Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303261085",
            "country_code": "US",
            "telephone_number": "615-380-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Pacific Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752014540",
            "country_code": "US",
            "telephone_number": "615-380-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6271 Saint Augustine Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172523",
            "country_code": "US",
            "telephone_number": "615-380-4003",
            "fax_number": "423-295-7976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COPILOTIQ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "615-380-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.