AMG-HILLSIDE, LLC (NPI# 1588934673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588934673 |
| Entity Type | Organization |
| Organization Name | AMG-HILLSIDE, LLC |
| Other Organization Name | ARDMORE BEHAVIORAL HEALTH CLINIC |
| Practice Address |
1265 E College St Pulaski TN 38478-4541 |
| Mailing Address |
Po Box 631 Pulaski TN 38478-0631 |
| Practice Telephone | 9313637531 |
| Mailing Telephone | 9313637531 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | MICHAEL CLARK (VICE PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD0000047963 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ardmore Behavioral Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689968109 | Amg-hillside, LLC | Surgery | 1255 E College St, Suite 500, Pulaski, TN 38478-4515 | 2011-06-01 |
| Street Address |
1265 E COLLEGE ST |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623258 | Todd Jefferson Lucas | Surgery | 1265 E College St, Suite 9, Pulaski, TN 38478-4541 | 2005-07-20 |
| 1174087621 | Brandon Matt Fleming | Physical Therapist | 1265 E College St, Pulaski, TN 38478-4541 | 2019-01-29 |
| 1376082933 | Matthew Jesse Burns | Emergency Medicine | 1265 E College St, Pulaski, TN 38478-4541 | 2017-02-15 |
| 1669927257 | Amg - Hillside, LLC | Radiology | 1265 E College St, Pulaski, TN 38478-4541 | 2016-08-24 |
| 1780047506 | Pulaski Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1265 E College St, Pulaski, TN 38478-4541 | 2016-03-30 |
| 1699152686 | Mathios M Bayssie | Emergency Medicine | 1265 E College St, Pulaski, TN 38478-4541 | 2015-04-29 |
| 1689081630 | Hannah D Schimmer | Nurse Practitioner | 1265 E College St, Pulaski, TN 38478-4541 | 2014-07-22 |
| 1225450646 | Joseph E Hemmen Jr. | Nurse Anesthetist, Certified Registered | 1265 E College St, Pulaski, TN 38478-4541 | 2014-01-21 |
| 1477991743 | Insight Radiology Pllc | Radiology | 1265 E College St, Pulaski, TN 38478-4541 | 2013-06-10 |
| 1649457391 | Melvin L. Christian Jr. | Registered Nurse | 1265 E College St, Pulaski, TN 38478-4541 | 2008-01-24 |
| Find all providers in the same location | ||||
| 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 | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730504754 | Southern Psychiatric Services | Psychiatry & Neurology | 216 North Cross Street, Oneida, TN 37841 | 2014-02-27 |
| 1053650200 | Adult and Geriatric Psychiatry Service | Psychiatry & Neurology | 1618 Strawberry Ln, Johnson City, TN 37604-7700 | 2013-02-07 |
| 1942518642 | Asana Integrated Medical Group | Psychiatry & Neurology | 106 New Bedford Ln, Oak Ridge, TN 37830-8289 | 2010-09-16 |
| 1619207958 | William A. Rafuls, Md, Inc. | Psychiatry & Neurology | 2158 Northgate Park Ln Ste 220, Chattanooga, TN 37415-6959 | 2010-01-08 |
| 1831360866 | Panacea Psychiatric Center Plc | Psychiatry & Neurology | 5651 Frist Blvd Ste 701, Hermitage, TN 37076-2061 | 2008-03-18 |
| 1093092066 | James R. Mcferrin, Md, PC | Psychiatry & Neurology | 2011 Ashwood Ave, Nashville, TN 37212-5015 | 2011-11-04 |
| 1992087399 | New Perspectives Psychiatry Pllc | Psychiatry & Neurology | 3549 Norriswood Ave, Memphis, TN 38111-5911 | 2011-09-13 |
| 1215172473 | Meredith C. Walgren | Psychiatry & Neurology | 2300 Patterson St, Nashville, TN 37203-1538 | 2008-12-02 |
| 1619149739 | Symed Nc, LLC | Psychiatry & Neurology | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-03-28 |
| 1427187517 | Symed, LLC | Psychiatry & Neurology | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AMG-HILLSIDE, LLC.
| 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.