COLUMBIA MULTI SPECIALTY CLINIC PLLC (NPI# 1497822548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497822548 |
| Entity Type | Organization |
| Organization Name | COLUMBIA MULTI SPECIALTY CLINIC PLLC |
| Other Organization Name | CMSMC |
| Practice Address |
1394 Hatcher Ln Same Columbia TN 38401-3586 |
| Mailing Address |
1394 Hatcher Ln Suite A Columbia TN 38401-3586 |
| Practice Telephone | 9313889388 |
| Practice Fax Number | 9313889808 |
| Mailing Telephone | 9313889388 |
| Mailing Fax Number | 9313889808 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | MS. INDU BALI (CEO) |
| Authorized Official Telephone | 9313889388 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
TN LIC # 31656 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4059771 | 05 | |
| DEA FED | BB3839315 | 01 |
| Other Name | Type Code |
|---|---|
| CMSMC | Other Name - Individual/Organization |
| Street Address |
1394 HATCHER LN SAME |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649340225 | Susan Thomas Gray | Obstetrics & Gynecology | 1394 Hatcher Ln, Columbia, TN 38401-3568 | 2006-11-09 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995346 | Rachelle Shepard | Family Medicine | 144 Whitehurst Way, Columbia, SC 29229-8500 | 2019-01-10 |
| 1154425361 | Indu Bali | Family Medicine | 1394 Hatcher Lane, Suite A, Columbia, TN 38401 | 2006-09-08 |
| 1215986153 | Annarosan P Joy | Family Medicine | 114 Gateway Corporate Blvd., #230, Columbia, SC 29203 | 2006-05-08 |
| 1275520629 | Tamera D Crowe | Family Medicine | 1520 Laurel St, Columbia, SC 29201-2623 | 2005-09-30 |
| 1508950494 | Annarosan P Joy Md | Family Medicine | 2701 Middleburg Dr, Columbia, SC 29204-2405 | 2006-10-03 |
| 1265533897 | Spectrum Pain Clinics Inc. | Family Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2006-09-26 |
| 1710096912 | Deepti Parmar | Family Medicine | 6439 Garners Ferry Rd, Dorn Va Medical Center, Columbia, SC 29209-1638 | 2006-08-30 |
| 1902819345 | Karen Craig Walpole | Family Medicine | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-08-15 |
| 1790795649 | Nirav R. Pathak | Family Medicine | 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203-6896 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902177 | R&m Consultants LLC | Family Medicine | 208 N Roan St, Johnson City, TN 37601-4735 | 2020-04-27 |
| 1124656616 | Carebridge Medical Group, PC | Family Medicine | 926 Main St Ste B, Nashville, TN 37206-3614 | 2020-03-30 |
| 1104456052 | Briana Arnett | Family Medicine | 2308 Memorial Blvd Ste D, Springfield, TN 37172-3929 | 2020-01-20 |
| 1326552225 | Tiffany Danielle Turner | Family Medicine | 1045 Horse Head Lane, Pikeville, TN 37367 | 2017-11-30 |
| 1871928556 | Shirley Gravenor | Family Medicine | 2636 Park Creek Dr, Germantown, TN 38139-6556 | 2013-09-12 |
| 1952733396 | Unity Health Home, Inc | Family Medicine | 201 Jordan Rd, Suite 200, Franklin, TN 37067-4495 | 2013-08-08 |
| 1447503842 | Charlene Crowder Matthews | Family Medicine | 157 Highway 25 E, Newport, TN 37821-8157 | 2012-10-23 |
| 1295007730 | Anthony Glen Justice | Family Medicine | 11911 Kingston Pike, Suite 201, Knoxville, TN 37934-4602 | 2012-01-30 |
| 1386878957 | Holly Spurlock Blankenship | Family Medicine | 370 Doolittle Rd Ste 1, Woodbury, TN 37190-1129 | 2009-05-11 |
| 1447454525 | Gay Kirchner Battle | Family Medicine | 2309 Granite Dr, Johnson City, TN 37604-2172 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COLUMBIA MULTI SPECIALTY CLINIC PLLC.
| 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.