Organization Active NPI

Gastroenterology Associates at the Summit, P.C.

  • Specialist
  • Hermitage, TN
National Provider Identifier
1730387929
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000012445 Issued in TN
Legal business name
GASTROENTEROLOGY ASSOCIATES AT THE SUMMIT, P.C.
Practice address
5651 Frist Blvd
Suite 610
Hermitage, TN 37076-2060
Phone
(615) 885-7788
Fax
(615) 885-0674
NPI assigned
Jul 10, 2007
Last updated
May 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Dr. Maurice C. Barnes, M.D.NPI 1730224320
Title
President
Phone
(615) 885-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000012445 TN Primary

Addresses

Primary practice location

5651 Frist Blvd
Suite 610
Hermitage, TN 37076-2060

Mailing address

5651 Frist Blvd
Suite 610
Hermitage, TN 37076-2060
Phone (615) 885-7788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090612000500 TN Part B Supplier - Clinic/Group Practice 8123178126 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, TN; Nashville, TN

National Provider Directory

National Provider Directory

Locations

5651 Frist Blvd
Ste 610
Hermitage, TN 37076
Phone (615) 885-7788

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1730387929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 610",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762060",
            "telephone_number": "615-885-7788",
            "fax_number": "615-885-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 610",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762060",
            "telephone_number": "615-885-7788",
            "fax_number": "615-885-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES AT THE SUMMIT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-885-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000012445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.