MAURY REGIONAL MEDICAL GROUP, INC (NPI# 1205886264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205886264 |
| Entity Type | Organization |
| Organization Name | MAURY REGIONAL MEDICAL GROUP, INC |
| Other Organization Name | FAMILY HEALTH GROUP, INC |
| Practice Address |
854 W James Campbell Blvd Suite 303 Columbia TN 38401-4659 |
| Practice Telephone | 9315404255 |
| Practice Fax Number | 9314904654 |
| Mailing Telephone | 9315404255 |
| Mailing Fax Number | 9314904654 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | MR. NICK A SWIFT (CFO) |
| Authorized Official Telephone | 9315404255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3710089 | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Group, Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156982 | Maury Regional Medical Group, Inc | Family Medicine | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2019-07-18 |
| 1962055947 | Maury Regional Medical Group, Inc | Family Medicine | 1218 Trotwood Ave, Columbia, TN 38401-6406 | 2019-07-19 |
| 1306499322 | Maury Regional Medical Group, Inc | Family Medicine | 5421 Main St, Spring Hill, TN 37174-4410 | 2019-07-18 |
| Street Address |
854 W JAMES CAMPBELL BLVD SUITE 303 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831181957 | James Grant Barr | Internal Medicine | 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401-4659 | 2005-08-16 |
| 1528687159 | Elizabeth Brewer | Nurse Practitioner | 854 W James Campbell Blvd, Suite 201, Columbia, TN 38401-3840 | 2020-04-14 |
| 1477067429 | Laurie Elizabeth Bates | Nurse Practitioner | 854 W James Campbell Blvd, Suite 100, Columbia, TN 38401 | 2017-11-29 |
| 1689101503 | Kimberly Morrow Richardson | Nurse Practitioner | 854 W James Campbell Blvd, Suite 100, Columbia, TN 38401 | 2017-05-23 |
| 1770028656 | Ashley Victory | Nurse Practitioner | 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401-4659 | 2016-12-30 |
| 1811343148 | Carmen Harris | Nutritionist | 854 W James Campbell Blvd, Suite 100, Columbia, TN 38401-4659 | 2016-05-05 |
| 1114384930 | Nina Elizabeth Boshers | Marriage & Family Therapist | 854 W James Campbell Blvd, Suite 201, Columbia, TN 38401-4659 | 2016-01-25 |
| 1851782486 | Jessica Fisher Oliver | Nurse Practitioner | 854 W James Campbell Blvd, Suite 101, Columbia, TN 38401-4659 | 2015-02-18 |
| 1134553878 | Family Health Group Inc | Anesthesiology | 854 W James Campbell Blvd, Columbia, TN 38401-4659 | 2013-08-29 |
| 1720326200 | Shavonne F Morgan | Nurse Practitioner | 854 W James Campbell Blvd, Suite 403, Columbia, TN 38401-4659 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1457977563 | Jenny Tatiana Gonzalez Guzman | Family Medicine | Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-24 |
| 1942825500 | Jarvis Jamal Johnson | Family Medicine | Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-10 |
| 1386268183 | Nicolas Anthony Limogiannis | Family Medicine | Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-08 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1275177420 | Palmetto Primary Care Physicians | Family Medicine | 1415 Blanding St Ste 2, Columbia, SC 29201-2922 | 2019-10-31 |
| 1558919852 | Synergos Medical, LLC | Family Medicine | 1703 Oak Cliff Pl, Columbia, MO 65203-4719 | 2019-08-29 |
| 1972156982 | Maury Regional Medical Group, Inc | Family Medicine | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2019-07-18 |
| Find all providers in COLUMBIA | ||||
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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.