GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC (NPI# 1396288668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396288668 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC |
| Practice Address |
76 Capital Way Ste. E Atoka TN 38004-6832 |
| Mailing Address |
1419 Kensington Square Ct Murfreesboro TN 37130-6939 |
| Practice Telephone | 9017473630 |
| Practice Fax Number | 8557446439 |
| Mailing Telephone | 6153969080 |
| Mailing Fax Number | 8557446439 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | SHEILA WILLIAMS (ANCILLARY SERVICES MANAGER) |
| Authorized Official Telephone | 9017473630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285177543 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 7668b Airways Blvd, Southaven, MS 38671-5304 | 2016-11-18 |
| 1275076416 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 2999 Centre Oak Way, Germantown, TN 38138-6308 | 2016-11-21 |
| 1457894693 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 8000 Wolf River Blvd, Ste. 200, Germantown, TN 38138-1754 | 2016-11-21 |
| 1164965406 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 3350 N Germantown Rd, Bartlett, TN 38133-4026 | 2016-11-18 |
| 1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
| 1639611999 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2016-11-17 |
| 1871978064 | Gastroenterology Center of The Midsouth PC | Pharmacy | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2015-07-29 |
| Street Address |
76 CAPITAL WAY STE. E |
| City | ATOKA |
| State | TN |
| Zip Code | 38004-6832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245419043 | Comprehensive Primary Care Pllc | Family Medicine | 76 Capital Way, Suite C, Atoka, TN 38004-6832 | 2007-10-29 |
| 1295150787 | Regina Goulder | Nurse Practitioner | 76 Capital Way, Suite C, Atoka, TN 38004-6832 | 2014-02-20 |
| 1881932457 | Mid-south Foot and Ankle Specialists, Pllc | Non-Pharmacy Dispensing Site | 76 Capital Way, Suite E, Atoka, TN 38004 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205194107 | Dorothy Joy Casama | Pediatrics | 36 Capital Way, Ste E, Atoka, TN 38004 | 2012-04-27 |
| 1043443526 | Comfort Solutions Sleep Services | Clinic/Center | 76 Capital Way Suite C, Atoka, TN 38004 | 2009-08-31 |
| 1770755134 | Cannon Chiropractic, Pllc | Chiropractor | 81 Atoka Mclaughlin, Suite B, Atoka, TN 38004 | 2008-03-26 |
| 1851365951 | Dana Poisal | Chiropractor | 60 Commercial Dr, Atoka Chiropractic Clinic, Atoka, TN 38004 | 2006-02-15 |
| 1619972338 | Philip Gordon Andre | Specialist | 11180 Hwy 51 N., Ste 3, Atoka, TN 38004 | 2005-06-17 |
| 1275538977 | Darl Vilbro Bell | Internal Medicine | 81 Atoka Mclaughlin Drive, Ste 1, Atoka, TN 38004 | 2005-06-17 |
| 1003916891 | Bell Internal Medicine PC | Legal Medicine | 81 Atoka Mclaughlin Drive, Ste 1, Atoka, TN 38004 | 2006-09-22 |
| 1932173036 | Samuel E Poisal Iv | Chiropractor | 60 Commercial Dr, Atoka Chiropractic Clinic, Atoka, TN 38004 | 2006-02-15 |
| 1124113832 | Muhammad Sohail Siddiq | Internal Medicine | 340 Atoka Mclaughlin Dr, Suite C, Atoka, TN 38004-4824 | 2006-10-04 |
| 1790971885 | Shameela N Ahmed | Specialist | 340 Atoka Mclaughlin Dr, Suite C, Atoka, TN 38004-4824 | 2007-09-21 |
| Find all providers in zip 38004 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881932457 | Mid-south Foot and Ankle Specialists, Pllc | Non-Pharmacy Dispensing Site | 76 Capital Way, Suite E, Atoka, TN 38004 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181160 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 4220 Harding Pike Bldg Ste200, Nashville, TN 37205-2005 | 2020-07-09 |
| 1144849050 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 1750 Cedar Ln Ste 200, Tullahoma, TN 37388-4761 | 2020-04-10 |
| 1720607625 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 3443 Dickerson Pike Ste 760, Nashville, TN 37207-2527 | 2020-04-10 |
| 1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
| 1700415981 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2121 N Locust Ave Ste 2, Lawrenceburg, TN 38464-4454 | 2020-04-08 |
| 1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
| 1144855073 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 776 Weatherly Dr Ste A, Clarksville, TN 37043-8941 | 2020-03-11 |
| 1407481567 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 5073 Main St Ste 210, Spring Hill, TN 37174-2738 | 2020-03-10 |
| 1659906709 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 103 Physicians Way Ste 102, Lebanon, TN 37090-4132 | 2020-03-10 |
| 1346875309 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 353 New Shackle Island Rd Ste 204a, Hendersonville, TN 37075-2371 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
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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.