AMG-HILLSIDE LLC (NPI# 1740527753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740527753 |
| Entity Type | Organization |
| Organization Name | AMG-HILLSIDE LLC |
| Other Organization Name | ESSENTIALS WELLNESS CENTER |
| Practice Address |
200 Hillside Dr Pulaski TN 38478-4566 |
| Practice Telephone | 9314249388 |
| Practice Fax Number | 9314249139 |
| Mailing Telephone | 9314249388 |
| Mailing Fax Number | 9314249139 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | JESS N JUDY (PRESIDENT) |
| Authorized Official Telephone | 6155651508 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Essentials Wellness 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 |
| 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 |
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 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 |
200 HILLSIDE DR |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-4566 |
| 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 | 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 |
|---|---|---|---|---|
| 1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
| 1215165311 | Sara Beth Bush | Family Medicine | 1255 E College St Ste 100, Pulaski, TN 38478-4553 | 2009-06-26 |
| 1427189638 | Jay F Sullivan Md PC | Family Medicine | 4882b North Jefferson St, Pulaski, NY 13142 | 2007-03-08 |
| 1114071057 | Stephen R Savage | Family Medicine | 1119 East College Street, Suite 3, Pulaski, TN 38478 | 2007-01-22 |
| 1861426413 | Jay Frederick Sullivan | Family Medicine | 4882b North Jefferson Street, Pulaski, NY 13142 | 2006-07-10 |
| 1255394557 | Matthew S. Kaatz | Family Medicine | 101 1st St Nw, Pulaski, VA 24301-5603 | 2006-04-08 |
| 1609838390 | Bellin Memorial Hospital Inc | Family Medicine | 331 W Green Bay St, Pulaski, WI 54162-9297 | 2006-04-06 |
| 1720069933 | Charles William Burger | Family Medicine | 215 S Cedar Ln, Pulaski, TN 38478-3502 | 2005-11-07 |
| 1568829356 | Pulaski Medical Urgent Care, P.c | Family Medicine | 3858 State Route 13, Pulaski, NY 13142-2400 | 2016-01-25 |
| 1457690422 | Amg Hillside LLC | Family Medicine | 1119 E College St, Suite 3, Pulaski, TN 38478-4563 | 2013-02-11 |
| Find all providers in PULASKI | ||||
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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.