Columbia Medical Group-Southern Hills Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLUMBIA MEDICAL GROUP-SOUTHERN HILLS INC

Practice address

397 Wallace Rd BLDG C
Suite 100
Nashville, TN 37211-4854

Phone

(615) 834-6166

Fax

(615) 781-9755

NPI assigned

Sep 30, 2005

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTHSERV ACQUISITIONAs reported in NPPES

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

Authorized official

Name

Daniel Sykes

Title

Vice President

Phone

(615) 342-6878

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Malek H Al Omary, MD

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1790833267
  Medicare reassignment Care Compare group NPD
• Tahlianna I Almonte, MD

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1124607635
  Medicare reassignment Care Compare group NPD
• Mona Bhatti, M.D.

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1295153906
  Medicare reassignment Care Compare group NPD
• Robert G Bishop, MD

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1013902782
  Medicare reassignment Care Compare group NPD
• Matthew L Brust, MD

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1467447664
  Medicare reassignment Care Compare group NPD
• Daniel Butts, MD

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1649626201

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jennifer Courtway Cameron, FNP

  • Family Nurse Practitioner
  • Brentwood, TN
  • NPI 1790256733
  Medicare reassignment Care Compare group NPD
• Max Crouse, MD

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1548827124
  Medicare reassignment Care Compare group NPD
• Anthony A Day, M.D.

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1164460200
  Medicare reassignment Care Compare group NPD
• John Matthew Ducey, M.D.

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1346507423
  Medicare reassignment Care Compare group NPD
• Ervin Garcia, FNP-BC

  • Family Nurse Practitioner
  • Antioch, TN
  • NPI 1649094988

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Christopher D Holloway, MD

  • Family Medicine Physician
  • Antioch, TN
  • NPI 1063407351
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1700873171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD BLDG C",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-834-6166",
            "fax_number": "615-781-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD BLDG C",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-834-6166",
            "fax_number": "615-781-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL GROUP-SOUTHERN HILLS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHSERV ACQUISITION",
        "enumeration_date": "2005-09-30",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-342-6878"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3708815",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE1731",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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-Centennial Inc
• Columbia Rose Clinical Services LLC
• Michelle D Colvard, RPH, PHARMD, BCPP
• Cassidy Colvin
• Heather Nicole Colvin, COTA/L
• Shannon Colvin, PA-C

• Family Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.