AMG-HILLSIDE LLC (NPI# 1073849634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073849634 |
| Entity Type | Organization |
| Organization Name | AMG-HILLSIDE LLC |
| Other Organization Name | SOUTHERN SURGICAL |
| Practice Address |
204 Hillside Dr Pulaski TN 38478-4566 |
| Practice Telephone | 9313633514 |
| Practice Fax Number | 9313633595 |
| Mailing Telephone | 9313633514 |
| Mailing Fax Number | 9313633595 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |
| Authorized Official Name | JESS JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 39634 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SOUTHERN SURGICAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700208618 | Amg-hillside LLC | Nurse Practitioner | 26032 Main St, Ardmore, TN 38449-3375 | 2014-01-11 |
| 1740527753 | Amg-hillside LLC | Family Medicine | 200 Hillside Dr, Pulaski, TN 38478-4566 | 2013-01-10 |
| 1922337559 | Amg-hillside LLC | Urology | 600 E College St, Pulaski, TN 38478-4407 | 2009-12-10 |
| 1598924110 | Amg-hillside LLC | Internal Medicine | 206 Hillside Dr, Pulaski, TN 38478-4566 | 2008-06-09 |
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 1053734186 | Amg-hillside LLC | Internal Medicine | 1255 E College St, Suite 400, Pulaski, TN 38478 | 2014-01-24 |
| 1164654547 | Amg-hillside LLC | Internal Medicine | 1255 E College St, Suite 500, Pulaski, TN 38478-4515 | 2009-08-18 |
| 1639320732 | Amg-hillside LLC | Obstetrics & Gynecology | 1275 E College St, Suite 1, Pulaski, TN 38478-4500 | 2008-10-07 |
| Street Address |
204 HILLSIDE DR |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295042976 | Derek Riley | Orthopaedic Surgery | 204 Hillside Dr, Pulaski, TN 38478-4566 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605250 | Debra Jean Burr | Technician | 1225 Braly Hollow Rd., Pulaski, TN 38478 | 2019-12-02 |
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
| 1194993436 | Valerie S. Manning | Speech-Language Pathologist | 933 East College St., Pulaski, TN 38478 | 2008-02-20 |
| 1437360393 | Malcolm A Cox Jr. | Pediatrics | 1487 Milky Way Rd, Pulaski, TN 38478 | 2007-05-24 |
| 1134337025 | James Kenneth Webb | Dentist | 604 East College St, Pulaski, TN 38478 | 2007-05-21 |
| 1619182292 | Dr. John T Mann Dds | Dentist | 601 E College St, Pulaski, TN 38478 | 2007-05-14 |
| 1013138627 | Diane Hoffnagle Coggin | Dietitian, Registered | 209 Cedar Lane, Pulaski, TN 38478 | 2007-05-01 |
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 1962628453 | Junipers of The World Inc | Registered Nurse | 1914 Minor Hill Hwy, Pulaski, TN 38478 | 2007-04-17 |
| Find all providers in zip 38478 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700115243 | Armando Cabot Foronda | Surgery | 1617 Jackson Dr, Pulaski, TN 38478-4821 | 2009-12-11 |
| 1467573741 | Kenna Williams Md Pllc | Surgery | 1150 East College Street, Pulaski, TN 38478 | 2007-04-03 |
| 1801831524 | Surgical Associates of Southwest Virginia, LLC | Surgery | 2460 Lee Highway N, Suite 4, Pulaski, VA 24301 | 2006-06-17 |
| 1285606277 | Julian E Allen | Surgery | 1255 E College St, Suite 500, Pulaski, TN 38478-4515 | 2006-02-03 |
| 1770571853 | Kenna J Williams | Surgery | 1119 E College St, Pulaski, TN 38478-4563 | 2005-10-12 |
| 1326032178 | Stuart H Goldstein | Surgery | 101 1st St Nw Ste 2, Pulaski, VA 24301-5605 | 2005-09-08 |
| 1326030602 | James C Lathrop | Surgery | 1255 E College St Ste 500, Pulaski, TN 38478-4562 | 2005-08-22 |
| 1184623258 | Todd Jefferson Lucas | Surgery | 1265 E College St, Suite 9, Pulaski, TN 38478-4541 | 2005-07-20 |
| 1023647476 | Southwest Surgical Associates, Inc. | Surgery | 101 1st St Nw Ste 2, Pulaski, VA 24301-5605 | 2020-04-07 |
| 1689968109 | Amg-hillside, LLC | Surgery | 1255 E College St, Suite 500, Pulaski, TN 38478-4515 | 2011-06-01 |
| Find all providers in PULASKI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.