NPIMap

Organization Active NPI

Maury Regional Hospital

Doing business as Lewisburg Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, TN
National Provider Identifier
1679937783
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MAURY REGIONAL HOSPITAL
Doing business as
Lewisburg Pediatrics
Practice address
1090 N Ellington Pkwy
Suite 201
Lewisburg, TN 37091-2227
Phone
(931) 270-3655
NPI assigned
Apr 6, 2016
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MAURY REGIONAL HOSPITAL D/B/A LEWIS HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Gregory A Whitlock
Title
VP Finance/It
Phone
(931) 540-4212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1090 N Ellington Pkwy
Suite 201
Lewisburg, TN 37091-2227

Mailing address

PO Box 100054
Atlanta, GA 30348-0054

Other names 1

  • Lewisburg Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160526000374 TN Part A Provider - Federally Qualified Health Center (FQHC) 4688569718 Practice locations: Lewisburg, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679937783. Details of each certification follow.

Federally qualified health center certification: CCN 441974

Legal name
MAURY REGIONAL HOSPITAL
Doing business as
MAURY REGIONAL HOSPITAL D/B/A LEWISBURG PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 14, 2016
Last certification
Jun 14, 2016
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
1090 N Ellington Pkwy
Ste 201
Lewisburg, TN 37091-2227

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Maury Regional Hospital16 organizations share this tax ID, including this one
Part of
Maury Regional Hospital

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard D Schefke Individual Corporate DirectorAssociate Chief Financial Officer Mar 25, 2025
Maury County Government Organization, Columbia, TN Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Gregory Whitlock Individual Corporate DirectorVP Finance & It Apr 2, 2018
W-2 Managing EmployeeVP Finance & It Apr 2, 2018

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NHC-Maury Regional Transitional Care CenterColumbia, TN, CCN 445030 Skilled nursing facility 5% Or Greater Direct Ownership Interest (20%)
Operational/Managerial Control		 Jan 1, 2017
Jan 1, 2017
Maury Regional Urgent Care NorthColumbia, TN, CCN 443465 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 26, 2020
Maury Regional Urgent Care ColumbiaColumbia, TN, CCN 443466 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 26, 2020
MRMG Mt PleasantMt Pleasant, TN, CCN 443467 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 26, 2020
MRMG Spring HillSpring Hill, TN, CCN 443468 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 26, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1679937783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303480054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N ELLINGTON PKWY",
            "address_2": "SUITE 201",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912227",
            "telephone_number": "931-270-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURY REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAURY REGIONAL HOSPITAL D/B/A LEWIS HEALTH CENTER",
        "enumeration_date": "2016-04-06",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCE/IT",
        "authorized_official_telephone_number": "931-540-4212"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewisburg Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lewisburg Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.