NPIMap

Organization Active NPI

Tipton Anesthesia Group, Inc.

  • Certified Registered Nurse Anesthetist
  • Covington, TN
National Provider Identifier
1336383645
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0600153 Issued in TN
Legal business name
TIPTON ANESTHESIA GROUP, INC.
Practice address
1995 Highway 51 S
Covington, TN 38019-3635
Phone
(901) 737-8571
Fax
(901) 737-6350
NPI assigned
Apr 30, 2009
Last updated
Apr 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Mr. James H. Witham Jr., CRNANPI 1538260732
Title
Crna
Phone
(901) 737-8571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 0600153 TN Primary

Addresses

Primary practice location

1995 Highway 51 S
Covington, TN 38019-3635

Mailing address

124 Timber Creek Dr
Suite #2
Cordova, TN 38018-4280
Phone (901) 737-8571

National Provider Directory

National Provider Directory

Locations

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1336383645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 TIMBER CREEK DR",
            "address_2": "SUITE #2",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184280",
            "telephone_number": "901-737-8571",
            "fax_number": "901-737-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-737-8571",
            "fax_number": "901-737-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPTON ANESTHESIA GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "WITHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "901-737-8571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "0600153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.