NPIMap

Organization Active NPI

Regional Cardiology Consultants, PC

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1548205602
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
REGIONAL CARDIOLOGY CONSULTANTS, PC
Practice address
130 Stonebridge Blvd Ste a
Jackson, TN 38305-2086
Phone
(731) 664-4446
Fax
(731) 664-7829
NPI assigned
Jun 20, 2006
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Woodie M. Deming, M.D.
Title
President
Phone
(731) 664-4446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

130 Stonebridge Blvd Ste a
Jackson, TN 38305-2086

Mailing address

130 Stonebridge Blvd Ste a
Jackson, TN 38305-2086
Phone (731) 664-4446

Other identifiers 1

IdentifierTypeStateIssuer
3703306MedicaidTN

National Provider Directory

National Provider Directory

Locations

1211 Union Ave
Ste 950
Memphis, TN 38104
Phone (731) 664-4446

1407 Union Ave
Ste 807
Memphis, TN 38104
Phone (901) 725-0347

145 Pickwick St
Ste D
Savannah, TN 38372
Phone (731) 664-4446

Practitioners & affiliated clinicians

Practitioners 10

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1548205602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STONEBRIDGE BLVD STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052086",
            "telephone_number": "731-664-4446",
            "fax_number": "731-664-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STONEBRIDGE BLVD STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052086",
            "telephone_number": "731-664-4446",
            "fax_number": "731-664-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CARDIOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "DEMING",
        "authorized_official_first_name": "WOODIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-664-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3703306",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.