Individual provider Active NPI

Patrick A Souris, MD

  • Anesthesiology Physician
  • Columbia, TN
National Provider Identifier
1467506576
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
24622 Issued in TN
Practice address
1224 Trotwood Ave
Columbia, TN 38401-4802
Phone
(931) 381-1111
NPI assigned
Jan 23, 2007
Last updated
Apr 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24622 TN
Anesthesiology Physician 207L00000X 24622 TN Primary

Addresses

Primary practice location

1224 Trotwood Ave
Columbia, TN 38401-4802

Mailing address

PO Box 235022
Montgomery, AL 36123-5022
Phone (866) 612-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040929001020 TN Practitioner - Anesthesiology 8921077652 Reassigns benefits to 3 organizations
I20131115001647 GA Practitioner - Anesthesiology 8921077652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epix Anesthesia of Tennessee PLLCGroup PAC ID 7113292178, 12 clinicians

Practice addresses (Care Compare)

1818 Albion St
Nashville, TN 37208-2918
Phone (678) 580-1349

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24622TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Physynergy, LLC Anesthesiology CurrentSince Aug 1, 2015 Accepting new patients
Physynergy, LLC Anesthesiology Current Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Mar 14, 2024 Accepting new patients
Physynergy, LLC Anesthesiology CurrentSince Aug 1, 2015 Accepting new patients
Mid-South Gastroenterology Assoc PC CurrentSince Aug 10, 2009 Accepting new patients
Epix Anesthesia of Tennessee PLLC Anesthesiology CurrentSince Nov 1, 2017 Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Anesthesiology CurrentSince Mar 23, 2019 Accepting new patients
Mid-South Gastroenterology Assoc PC Anesthesiology CurrentSince Aug 10, 2009 Accepting new patients
Quality Care Anesthesia Physicians LTD Co Anesthesiology Past Accepting new patients
Anesthesia Care Enterprises, LLC Anesthesiology Past Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

1100 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 255-9096

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

1222 Trotwood Ave
Ste 501
Columbia, TN 38401
Phone (931) 388-8302

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

725 S James M Campbell Blvd
Columbia, TN 38401
Phone (931) 381-3700

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1467506576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235022",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235022",
            "telephone_number": "866-612-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014802",
            "telephone_number": "931-381-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOURIS",
        "first_name": "PATRICK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "24622",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "24622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.