NPIMap

Organization Active NPI

Gresham & Associates Cardiology Group, PLLC

  • Specialist
  • Murfreesboro, TN
National Provider Identifier
1609899673
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD024607 Issued in TN
Legal business name
GRESHAM & ASSOCIATES CARDIOLOGY GROUP, PLLC
Practice address
745 S Church St Ste A130
Murfreesboro, TN 37130-4919
Phone
(615) 295-2411
Fax
(615) 617-3249
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Tina Covington Gresham, M.D.
Title
Principal
Phone
(615) 295-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD024607 TN Primary

Addresses

Primary practice location

745 S Church St Ste A130
Murfreesboro, TN 37130-4919

Mailing address

745 S Church St Ste A130
Murfreesboro, TN 37130-4919
Phone (615) 295-2411

Other identifiers 1

IdentifierTypeStateIssuer
1520740MedicaidTN

National Provider Directory

National Provider Directory

Locations

745 S Church St
Ste 601A
Murfreesboro, TN 37130
Phone (615) 295-2411

745 S Church St
Ste 501
Murfreesboro, TN 37130
Phone (615) 295-2411

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1609899673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE A130",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304919",
            "telephone_number": "615-295-2411",
            "fax_number": "615-617-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE A130",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304919",
            "telephone_number": "615-295-2411",
            "fax_number": "615-617-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESHAM & ASSOCIATES CARDIOLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "COVINGTON",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "615-295-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD024607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520740",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.