Organization Active NPI

American Medical Associates LLC

  • Anesthesiology Physician
  • Cordova, TN
National Provider Identifier
1871823989
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
31930 Issued in TN
Legal business name
AMERICAN MEDICAL ASSOCIATES LLC
Practice address
315 S Walnut Bend Rd
Cordova
Cordova, TN 38018-7216
Phone
(901) 219-6840
Fax
(901) 219-6740
NPI assigned
Jan 12, 2010
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Carol J. McCourt, MD
Title
MD/Owner
Phone
(901) 730-1229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 31930 TN Primary

Addresses

Primary practice location

315 S Walnut Bend Rd
Cordova
Cordova, TN 38018-7216

Mailing address

315 S Walnut Bend Rd
Cordova
Cordova, TN 38018-7216

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1871823989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S WALNUT BEND RD",
            "address_2": "CORDOVA",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S WALNUT BEND RD",
            "address_2": "CORDOVA",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187216",
            "telephone_number": "901-219-6840",
            "fax_number": "901-219-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "MCCOURT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "901-730-1229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "31930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.