Maury Regional Hospital
Organization Active NPI Federally Qualified Health Center (FQHC) · Lewisburg, TN
NPI 1679937783 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1679937783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MAURY REGIONAL HOSPITAL
- Practice address
- 1090 N Ellington Pkwy
Suite 201
Lewisburg, TN 37091-2227 - Phone
- (931) 270-3655
- NPI assigned
- Apr 6, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- MAURY REGIONAL HOSPITAL D/B/A LEWIS HEALTH CENTER
Authorized official
- Name
- Gregory A Whitlock
- Title
- VP Finance/It
- Phone
- (931) 540-4212
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 15
Facilities with the same owner 8
Practitioners 31
-
Madalyn Rae Gold Amis, FNP-C
-
Schelby Hanson Blair, PMHNP-C
-
Rebecca Brady, FNP
-
Charles Cantieri, DO
-
Paula A Cole, APN
-
Carly Ann Cooke, FNP-BC
-
Sandra Kilburn Daniel, ACNP-BC
-
Loretta L. Davidson, N.P.
-
John Mason Douglas, FNP-BC
-
Kimberly Fowler Huffman, RN, MSN, APRN
-
Jawaid Kamal, MD
-
Sarah S Kersey, PA-C
-
Christian Maurer, MD
-
Brandy L Miller, NP-C
-
Lauren Rhea Miller, D.O.
-
Timothy A Nash, M.D.
-
Theresa Norris, MSN
-
Julie Prinzo, RN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
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
- Government · Non-profit
- Enrollment address
- 1090 N Ellington Pkwy
Ste 201
Lewisburg, TN 37091-2227
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Richard D Schefke |
Corporate Director |
Mar 25, 2025 | |
| Maury County Government |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Gregory Whitlock |
Corporate Director |
Apr 2, 2018 | |
| W-2 Managing Employee |
Apr 2, 2018 |
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| NHC-Maury Regional Transitional Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (20%) Operational/Managerial Control |
Jan 1, 2017 Jan 1, 2017 |
| Maury Regional Urgent Care North |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 26, 2020 |
| Maury Regional Urgent Care Columbia |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 26, 2020 |
| MRMG Mt Pleasant |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 26, 2020 |
| MRMG Spring Hill |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 26, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160526000374 | TN | Part a Provider - Federally Qualified Health Center (FQHC) | 4688569718 | Practice locations: Lewisburg, TN |
National Provider Directory
- Tax ID family
- Maury Regional Hospital
- Part of
- Maury Regional Hospital
Locations
1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- Lewisburg Pediatrics
Other providers in Lewisburg, TN
- Deanna Nicolett Marshall
- Lisa Masri
- Mitchell Scott Mathes
- Mark Anthony Matzkiw
- Maury Regional Hospital
- Maury Regional Hospital Marshall Medical Center
- Maury Regional Hospital Marshall Medical Center
- Jaime Dianne May
- Allison McCord
- Keli McInnes
All providers in Lewisburg, TN · Federally Qualified Health Center (FQHC) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.