NPIMap

Organization Active NPI

Comprehensive Neurology Center, PLLC

  • Pain Medicine Physician
  • Columbia, TN
National Provider Identifier
1821563107
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
COMPREHENSIVE NEUROLOGY CENTER, PLLC
Practice address
103 Berrywood Dr
Columbia, TN 38401-6409
Phone
(615) 410-4990
Fax
(615) 410-4250
NPI assigned
Oct 12, 2018
Last updated
Oct 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Rona Hatter
Title
Practice Manager
Phone
(615) 410-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

103 Berrywood Dr
Columbia, TN 38401-6409

Mailing address

2548 Rideout LN
Murfreesboro, TN 37128-7686
Phone (615) 663-9405

Other identifiers 1

IdentifierTypeStateIssuer
1525675MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Neurology Center PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1821563107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 RIDEOUT LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287686",
            "telephone_number": "615-663-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016409",
            "telephone_number": "615-410-4990",
            "fax_number": "615-410-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "HATTER",
        "authorized_official_first_name": "RONA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "615-410-4990"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525675",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.