Organization Active NPI

Columbia Urological Associates, P.a.

  • Specialist
  • Columbia, TN
National Provider Identifier
1881809614
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLUMBIA UROLOGICAL ASSOCIATES, P.A.
Practice address
1407 Hatcher LN
Columbia, TN 38401-3535
Phone
(931) 381-2110
Fax
(931) 381-5178
NPI assigned
May 14, 2007
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Debbie McNeal
Title
Office Manager
Phone
(931) 381-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1407 Hatcher LN
Columbia, TN 38401-3535

Mailing address

1407 Hatcher LN
Columbia, TN 38401-3535
Phone (931) 381-2110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100726000464 TN Part B Supplier - Clinic/Group Practice 1254463334 Receives reassigned benefits from 4 practitioners
Practice locations: Lawrenceburg, TN; Waynesboro, TN; Pulaski, TN; Lewisburg, TN; Columbia, TN

National Provider Directory

National Provider Directory

Locations

101 Berrywood Dr
Columbia, TN 38401
Phone (931) 381-2110

106 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 381-2110

Interoperability endpoints

  • Direct secure messaging: andreavanfleet@columbiauro.medalliesdirect.net
  • Direct secure messaging: anthonykhim@columbiauro.medalliesdirect.net
  • Direct secure messaging: johncoursey@columbiauro.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1881809614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013535",
            "telephone_number": "931-381-2110",
            "fax_number": "931-381-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013535",
            "telephone_number": "931-381-2110",
            "fax_number": "931-381-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA UROLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-381-2110"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 6, 2008; 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.