Columbia Medical Group-Centennial Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COLUMBIA MEDICAL GROUP-CENTENNIAL INC

Practice address

2400 Patterson St
Suite 115
Nashville, TN 37203-1562

Phone

(615) 342-5626

Fax

(615) 342-5635

NPI assigned

Sep 6, 2006

Last updated

Feb 17, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTHSERV ACQUISITION, LLCAs reported in NPPES

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

Authorized official

Name

Gary Duncan

Title

Vice President

Phone

(615) 373-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1669575858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 115",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-342-5626",
            "fax_number": "615-342-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 115",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-342-5626",
            "fax_number": "615-342-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL GROUP-CENTENNIAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHSERV ACQUISITION, LLC",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-373-7600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3715626",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ellen Colter
• Jennifer Coltharp, RD
• Marissa Colthirst, NP-C
• Leah Brooke Colucci, MD, MS
• Columbia Medical Group - the Frist Clinic Inc (dba The Frist Clinic)
• Columbia Medical Group-Southern Hills Inc
• Columbia Rose Clinical Services LLC
• Michelle D Colvard, RPH, PHARMD, BCPP
• Cassidy Colvin
• Heather Nicole Colvin, COTA/L

• Specialist in Nashville, TN
• Providers in Nashville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.