AMG-HILLSIDE LLC (NPI# 1710105499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710105499 |
| Entity Type | Organization |
| Organization Name | AMG-HILLSIDE LLC |
| Other Organization Name | GILES COUNTY ORTHOPAEDIC AND JOINT CENTER |
| Practice Address |
204 Hillside Drive Pulaski TN 38478 |
| Mailing Address |
Po Box 621 Pulaski TN 38478-0621 |
| Practice Telephone | 9313633514 |
| Practice Fax Number | 9313633595 |
| Mailing Telephone | 9313633514 |
| Mailing Fax Number | 9313633595 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | JONE KOFORD (DIVISION PRESIDENT) |
| Authorized Official Telephone | 6153728503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS TN | 3153524 | 01 |
| RAILROAD MEDICARE | CK2947 | 01 |
| Other Name | Type Code |
|---|---|
| Giles County Orthopaedic and Joint Center | 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 |
| 1073849634 | Amg-hillside LLC | Surgery | 204 Hillside Dr, Pulaski, TN 38478-4566 | 2009-11-02 |
| 1598924110 | Amg-hillside LLC | Internal Medicine | 206 Hillside Dr, Pulaski, TN 38478-4566 | 2008-06-09 |
| 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 DRIVE |
| City | PULASKI |
| State | TN |
| Zip Code | 38478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879251 | Richard Clark Taylor | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478-4500 | 2005-08-30 |
| 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 |
| 1962628453 | Junipers of The World Inc | Registered Nurse | 1914 Minor Hill Hwy, Pulaski, TN 38478 | 2007-04-17 |
| 1467573741 | Kenna Williams Md Pllc | Surgery | 1150 East College Street, Pulaski, TN 38478 | 2007-04-03 |
| Find all providers in zip 38478 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295042976 | Derek Riley | Orthopaedic Surgery | 204 Hillside Dr, Pulaski, TN 38478-4566 | 2010-09-02 |
| 1326082637 | Columbia Medical Group-southwest Virginia, In | Orthopaedic Surgery | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2006-06-16 |
| 1972598845 | James M Lovelace | Orthopaedic Surgery | 2460 Lee Hwy N, Pulaski, VA 24301-2335 | 2005-09-15 |
| 1700879251 | Richard Clark Taylor | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478-4500 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428816 | Tennessee Valley Orthopaedics, LLC | Orthopaedic Surgery | 110 Hospital Dr Ste G20, Jefferson City, TN 37760-5281 | 2020-05-13 |
| 1043831498 | Elite Sports Medicine & Orthopaedic Center, Plc | Orthopaedic Surgery | 395 Wallace Rd Ste 201a, Nashville, TN 37211-4881 | 2020-04-27 |
| 1588291694 | Tennessee Orthopaedic Alliance Pa | Orthopaedic Surgery | 215 Gothic Ct # 100, Franklin, TN 37067-8313 | 2020-03-26 |
| 1861029084 | Premier Orthopaedics & Sports Medicine, Plc | Orthopaedic Surgery | 2933 Medical Center Pkwy Ste D, Murfreesboro, TN 37129-2391 | 2020-03-26 |
| 1417597196 | Spine and Orthopedic Specialists of Tennessee, Pllc | Orthopaedic Surgery | 2002 Richard Jones Rd Ste C300, Nashville, TN 37215-2867 | 2020-01-10 |
| 1033757802 | Mark S. Sumida, Md Pllc | Orthopaedic Surgery | 1724 Hamill Rd Ste 204, Hixson, TN 37343-5098 | 2019-12-12 |
| 1629619820 | Jon Slaven | Orthopaedic Surgery | 260 Midway Medical Park Ste 100, Bristol, TN 37620-1722 | 2019-09-30 |
| 1427614916 | Nord Regenerative Sports Medicine, LLC | Orthopaedic Surgery | 2025 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-10 |
| 1801357058 | Bone and Joint Institute of Tennessee Inc | Orthopaedic Surgery | 1106 Elliston Way Ste 300, Thompsons Station, TN 37179-4407 | 2019-03-29 |
| 1861926479 | University of Tennessee Martin | Orthopaedic Surgery | 95 Mount Pelia Rd, Elam Center, Martin, TN 38238-0001 | 2017-04-20 |
| 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.