AMG-HILLSIDE LLC (NPI# 1922337559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922337559 |
| Entity Type | Organization |
| Organization Name | AMG-HILLSIDE LLC |
| Other Organization Name | UROLOGY ASSOCIATES OF SOUTH CENTRAL TN |
| Practice Address |
600 E College St Pulaski TN 38478-4407 |
| Mailing Address |
Po Box 715 Pulaski TN 38478-0715 |
| Practice Telephone | 9313631464 |
| Practice Fax Number | 9313632368 |
| Mailing Telephone | 9313639438 |
| Mailing Fax Number | 9313639430 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | JESS JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 43985 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | CK2947 | 01 | |
| TN | BCBS TN | 3153524 | 01 |
| Other Name | Type Code |
|---|---|
| Urology Associates of South Central TN | 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 |
| 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 |
600 E COLLEGE ST |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104119593 | Valerie Simmons | Occupational Therapist | 600 E College St, Pulaski, TN 38478-4407 | 2011-05-18 |
| 1033402425 | Rpm Rehab, Inc. | Physical Therapist | 600 E College St, Pulaski, TN 38478-4407 | 2011-05-18 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942226840 | Pulaski Urology LLC | Urology | 2460 Lee Hwy N, Suite 5, Pulaski, VA 24301-2335 | 2006-07-14 |
| 1457393852 | Pulaski Urology, LLC | Urology | 2460 Lee Hwy N, Suite 5, Pulaski, VA 24301-2335 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363875 | Connor Forbes | Urology | Vumc Dept Urology, 1161 21st Ave. South, A-1302 Medical Center North, Nashville, TN 37232-2765 | 2020-07-10 |
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1750808580 | Clyde Alexander Kyle | Urology | 448 Kyle Ln Nw, Cleveland, TN 37312-6435 | 2017-08-23 |
| 1316464142 | Urology Associates PC | Urology | 4601 Carothers Pkwy Ste 475, Franklin, TN 37067-5980 | 2017-08-23 |
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1932625662 | Urology Associates PC | Urology | 393 Wallace Rd Ste A400, Nashville, TN 37211-4983 | 2017-08-15 |
| 1619493343 | Urology Associates PC | Urology | 5651 Frist Blvd Ste 616, Hermitage, TN 37076-2060 | 2017-08-15 |
| 1881110500 | Urology Associates PC | Urology | 107 Glen Oak Blvd Ste 100, Hendersonville, TN 37075-3161 | 2017-08-15 |
| 1124544853 | Urology Associates PC | Urology | 3443 Dickerson Pike Ste 160, Nashville, TN 37207-2533 | 2017-08-15 |
| 1801310727 | Urology Associates PC | Urology | 1909 Mallory Ln Ste 110, Franklin, TN 37067-8230 | 2017-08-01 |
| 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.