Individual provider Active NPI

Robert Craig Collier, MD

  • Retina Specialist (Ophthalmology) Physician
  • Tullahoma, TN
National Provider Identifier
1518952597
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD21605 Issued in TN
Practice address
1100 N Jackson St
Tullahoma, TN 37388-2336
Phone
(931) 393-2020
Fax
(931) 455-6501
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 21605 TN
Retina Specialist (Ophthalmology) Physician 207WX0107X MD21605 TN Primary

Addresses

Primary practice location

1100 N Jackson St
Tullahoma, TN 37388-2336

Mailing address

1100 N Jackson St
Tullahoma, TN 37388-2336
Phone (931) 393-2020

Other identifiers 3

IdentifierTypeStateIssuer
180021876OtherTNRAILROAD MEDICARE
3062535MedicaidTN
P00465135OtherTNRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcollier@ecca.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070928000431 TN Practitioner - Ophthalmology 8325133853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 N Jackson St
Tullahoma, TN 37388-2336
Phone (931) 393-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21605TNMDRetina Specialist (Ophthalmology) Physician
21605TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center Associates PA Ophthalmology Current Accepting new patients
Retinal Eye Associates, PLLC Ophthalmology CurrentSince Sep 1, 2007 Accepting new patients

Locations

301 Colloredo Blvd
Ste C
Shelbyville, TN 37160
Phone (931) 684-0191

725 Kings Ln
Tullahoma, TN 37388
Phone (931) 455-1976

1100 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-2020

2020 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 393-2020

Interoperability endpoints

  • Direct secure messaging: rcollier@ecca.intellechartdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1518952597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882336",
            "telephone_number": "931-393-2020",
            "fax_number": "931-455-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882336",
            "telephone_number": "931-393-2020",
            "fax_number": "931-455-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "ROBERT",
        "middle_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "21605",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TN",
            "license": "MD21605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180021876",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3062535",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00465135",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcollier@ecca.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1100 N Jackson St",
            "city": "Tullahoma",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373882336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.