Organization Active NPI

South Central Heart Group Inc

  • Cardiovascular Disease Physician
  • Columbia, TN
National Provider Identifier
1700836202
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Apr 4, 2008

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4074604OtherTNBLUECROSS BLUESHIELD
3379860MedicaidTN

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.