Southcrest Clinic, P. C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 11290 Issued in TN

Legal business name

SOUTHCREST CLINIC, P. C.

Practice address

3413 Nolensville Pike
Suite a
Nashville, TN 37211-2911

Phone

(615) 333-8383

Fax

(615) 333-1660

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kay Son, M. D.

Title

President

Phone

(615) 333-8383

Specialties & licenses 9

Addresses

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Abraham, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1316696370
  NPD (past)
• Ramy Aziz, MBCHB, MSPAS, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1760012058
  NPD (past)
• Engy Bandary

  • Physician Assistant
  • Nashville, TN
  • NPI 1649809658
  NPD (past)
• Rennee Nagra Dhillon, MD

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1952396921
  NPD (past)
• Bola Gabriel

  • Physician Assistant
  • Antioch, TN
  • NPI 1376079731
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1821296088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 NOLENSVILLE PIKE",
            "address_2": "SUITE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112911",
            "telephone_number": "615-333-8383",
            "fax_number": "615-333-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 NOLENSVILLE PIKE",
            "address_2": "SUITE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112911",
            "telephone_number": "615-333-8383",
            "fax_number": "615-333-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCREST CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-333-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TN",
            "license": "38730",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TN",
            "license": "MD42852",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "MD42852",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "MD 38730",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "MD42852",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD 11290",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TN",
            "license": "MD 11290",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "MD11290",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "6193390001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bounchanh Souriyavong, PHARMD
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• Barry Keith South, DC
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• Internal Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.