Columbia Medical Group - the Frist Clinic Inc
Organization Active NPI Family Medicine Physician · Ashland City, TN
NPI 1609073535 · NPPES record last updated Apr 22, 2010
Key facts
- NPI
- 1609073535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC
- Practice address
- 313 N Main St
Ashland City, TN 37015-1319 - Phone
- (615) 792-1911
- Fax
- (615) 792-0619
- NPI assigned
- Jul 3, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- COLUMBIA MEDICAL GROUP - THE FRIST CLINIC, INC
Authorized official
- Name
- Gary F Duncan
- Title
- VP
- Phone
- (615) 373-7604
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 1
Practitioners 17
-
Sterling I Barrett, M.D.
-
Matthew J Beuter, MD
-
Amanda L Daniel, MD
-
Sydney Hester, MD
-
Deana Hooton, NP
-
Juli G Horton, MD
-
Louis C Johnson, MD
-
Thomas J Lewis, MD
-
Wallace R McGrew, MD
-
Emily P Neely, MD
-
Reema Bhupen Patel, PA-C
-
Brian S Aprill, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303000956 | TN | Part B Supplier - Clinic/Group Practice | 7517854508 |
Receives reassigned benefits from 60 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nashville, TN; Smithville, TN; Smyrna, TN; Sparta, TN; Spring Hill, TN; Franklin, TN; Kingston Springs, TN; Brentwood, TN… |
National Provider Directory
- Tax ID family
- First Clinic 45
- Part of
- First Clinic 45
Locations
330 23rd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 342-6010
330 23rd Ave N
Ste 500
Nashville, TN 37203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
313 N Main St
Ashland City, TN 37015-1319
Mailing address
313 N Main St
Ashland City, TN 37015-1319
Phone (615) 792-1911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100024920 | Medicaid | KY | |
| 3713820 | Medicaid | TN |
Other names
- Frist Clinic Family Care
Other providers in Ashland City, TN
- Shelby Ann Marian Chung
- Marie Nahomie Cidel-Samuel
- Cynthia K Claud
- Kammeran Shuntell Cleaves
- Robert Brent Coleman Jr.
- Brenda Jean Cordle
- Sara Marie Cottrill
- County of Cheatham
- Wendy Michelle Cox
- Crossroads Medical Group, PLLC
All providers in Ashland City, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.