Mid-South Gastroenterology Assoc PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MID-SOUTH GASTROENTEROLOGY ASSOC PC

Practice address

1510 1/2 Hatcher LN
Columbia, TN 38401-4825

Phone

(931) 381-7818

NPI assigned

May 26, 2009

Last updated

Sep 15, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

MID-SOUTH GASTROENTEROLOGY ASSOC PCAs reported in NPPES

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

Authorized official

Name

Amit A Choksi, MDNPI 1376508374

Title

Chairman Corp

Phone

(931) 388-8302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mid-South Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Columbia, TN
  • NPI 1336104280

  O20040618000734

  Same enrollment

Tax ID family

Mid-South Gastroenterolog2 organizations share this tax ID, including this one

Part of

Mid-South Gastroenterolog

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-South Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Columbia, TN
  • NPI 1336104280
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mid-South Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Columbia, TN
  • NPI 1336104280
  NPPES parent name

Practitioners 7

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.

• Amit A Choksi, MD

  • Gastroenterology Physician
  • Columbia, TN
  • NPI 1376508374
  Medicare reassignment NPD Authorized official
• Timothy Clayton Dickey, FNP-C

  • Family Nurse Practitioner
  • Columbia, TN
  • NPI 1750621579
  Medicare reassignment NPD
• Jennifer C Laws, FNP-BC

  • Family Nurse Practitioner
  • Lewisburg, TN
  • NPI 1184098147
  Medicare reassignment NPD
• Dayaker Reddy Mallipeddi, MD

  • Gastroenterology Physician
  • Columbia, TN
  • NPI 1548225444
  Medicare reassignment NPD
• Robert Wallace McClure, MD

  • Gastroenterology Physician
  • Columbia, TN
  • NPI 1386600906
  Medicare reassignment NPD
• Srikar S Reddy, MD

  • Gastroenterology Physician
  • Columbia, TN
  • NPI 1467418087
  Medicare reassignment NPD
• Patrick A Souris, MD

  • Anesthesiology Physician
  • Columbia, TN
  • NPI 1467506576
  Medicare reassignment NPD

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1770718405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131149",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352136149",
            "telephone_number": "877-319-7141",
            "fax_number": "877-243-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 1/2 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014825",
            "telephone_number": "931-381-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH GASTROENTEROLOGY ASSOC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-SOUTH GASTROENTEROLOGY ASSOC PC",
        "enumeration_date": "2009-05-26",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "CHOKSI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN CORP",
        "authorized_official_telephone_number": "931-388-8302",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Michalak, M.D.
• Heather Christine Michaud, B.S.
• Mid-Cumberland Endodontics
• Mid-South Family Therapy PLLC
• Mid-South Gastroenterology Assoc PC
• Mid-South Surgeons, PLLC
• Mid-South Surgeons, PLLC
• Mid-Tennessee Bone & Joint
• Middle Tenn ENT Specialists
• Middle Tennessee Anesthesia Associates, PLLC

• Anesthesiology Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.