NPIMap

Organization Active NPI

Nashville Gastroenterology and Hepatology

Doing business as Southern Endoscopy Center

  • Endoscopy Clinic/Center
  • Nashville, TN
National Provider Identifier
1790811222
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
NASHVILLE GASTROENTEROLOGY AND HEPATOLOGY
Doing business as
Southern Endoscopy Center
Practice address
330 Wallace Rd
Suite 103
Nashville, TN 37211-4893
Phone
(615) 390-5053
Fax
(615) 832-5713
NPI assigned
Feb 26, 2007
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NASHVILLE GSSTROENTEROLOGY AND HEPATOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Ms. Faleecia Taylor
Title
Practice Administrator
Phone
(615) 390-5053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X TN Primary

Addresses

Primary practice location

330 Wallace Rd
Suite 103
Nashville, TN 37211-4893

Mailing address

330 Wallace Rd
Suite 103
Nashville, TN 37211-4893
Phone (615) 390-5053

Other identifiers 1

IdentifierTypeStateIssuer
490001101OtherTNRAILROAD MEDICARE PIN

Other names 1

  • Southern Endoscopy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160816002005 TN Part B Supplier - Ambulatory Surgical Center 7911223573 Practice locations: Nashville, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Nashville Gastroenterology and Hepatology PCCCN 44C0001020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Nashville Gastroenterology

Practitioners & affiliated clinicians

Practitioners 8

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1790811222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WALLACE RD",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114893",
            "telephone_number": "615-390-5053",
            "fax_number": "615-832-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WALLACE RD",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114893",
            "telephone_number": "615-390-5053",
            "fax_number": "615-832-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE GASTROENTEROLOGY AND HEPATOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASHVILLE GSSTROENTEROLOGY AND HEPATOLOGY",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "FALEECIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-390-5053",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "490001101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.