Middle Tennessee Medical Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MIDDLE TENNESSEE MEDICAL INC.

Practice address

6011 Trotwood Ave
Suite 400
Columbia, TN 38401-7009

Phone

(931) 388-9663

Fax

(931) 388-7411

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Morton Mash

Title

Administrative Assistant

Phone

(931) 388-9663

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1508991456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 TROTWOOD AVE",
            "address_2": "SUITE 400",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384017009",
            "telephone_number": "931-388-9663",
            "fax_number": "931-388-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 TROTWOOD AVE",
            "address_2": "SUITE 400",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384017009",
            "telephone_number": "931-388-9663",
            "fax_number": "931-388-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "MASH",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "MORTON",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "931-388-9663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Middle Tennessee Urology Associates PC
• Middle Tennessee Vascular Associates, PLC
• Middle Tennessee Women'S Health Group 2LLC

• All providers in Columbia, TN
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.