Active NPI
South Central Heart Group Inc
- Cardiovascular Disease Physician
- Columbia, TN
National Provider Identifier
1700836202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SOUTH CENTRAL HEART GROUP INC
- Practice address
- 1220 Trotwood Ave
Suite 401
Columbia, TN 38401-6433 - Phone
- (931) 388-8622
- Fax
- (931) 388-8227
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Todd Hill
- Title
- Executive Director
- Phone
- (931) 540-4255
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Interventional Cardiology Physician | 207RI0011X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1220 Trotwood Ave
Suite 401
Columbia, TN 38401-6433
Mailing address
854 W James Campbell Blvd
Suite 303a
Columbia, TN 38401-4659
Phone (931) 540-4255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4074604 | Other | TN | BLUECROSS BLUESHIELD |
| 3379860 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
1220 Trotwood Ave
Ste 401
Columbia, TN 38401
Phone (931) 388-6550
1222 Trotwood Ave
Ste 501
Columbia, TN 38401
Phone (931) 388-8302
854 W James M Campbell Blvd
Ste 303A
Columbia, TN 38401
1407 N Locust Ave
Ste 104
Lawrenceburg, TN 38464
1265 E College St
Ste 2A
Pulaski, TN 38478
Phone (931) 388-8622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207267200000",
"number": "1700836202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 W JAMES CAMPBELL BLVD",
"address_2": "SUITE 303A",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014659",
"telephone_number": "931-540-4255",
"fax_number": "931-490-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 TROTWOOD AVE",
"address_2": "SUITE 401",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016433",
"telephone_number": "931-388-8622",
"fax_number": "931-388-8227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CENTRAL HEART GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2008-04-04",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "931-540-4255",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "4074604",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3379860",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
- Thomas Daniel Snead Jr., O.D.
- Susan J Soine
- Anthony Scott Sorrell, CRNA
- Patrick A Souris, MD
- South Central Community Services Agency
- South Central TN Development District
- Southern Family Markets LLC (Southern Family Market)
- Southern Physical Therapy, LLC
- Southern Radiology Associates, PLLC
- Southern TN Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.