INTERNAL MEDICINE OF PULASKI
NPI 1164654547
Internal Medicine in Pulaski, TN

NPI Status: Active since August 18, 2009

Contact Information

1255 E COLLEGE ST
SUITE 500
PULASKI, TN
ZIP 38478
Phone: (931) 363-7531

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  • Organization
  • Internal Medicine

About INTERNAL MEDICINE OF PULASKI

This page provides the complete NPI Profile along with additional information for Internal Medicine Of Pulaski, an internist established in Pulaski, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1164654547 assigned on August 2009. The practitioner's primary taxonomy code is 207R00000X with license number 45230 (TN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Internal Medicine Of Pulaski. The authorized official of this NPI record is Michael Clark (Division President)

NPI
1164654547
Provider Legal Name
AMG-HILLSIDE LLC
Other Organization Name
INTERNAL MEDICINE OF PULASKI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1255 E COLLEGE ST SUITE 500 PULASKI, TN 38478
Location Phone
(931) 363-7531
Mailing Address
PO BOX 1186 PULASKI, TN 38478
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2009
Last Update Date
10-20-2009
Code Navigator

An internist like Internal Medicine Of Pulaski is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
45230
License State
TN
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL CLARK

Authorized Official Title
DIVISION PRESIDENT
Authorized Official Phone
(615) 372-8500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1514799MEDICAID (05)TN 
3374856MEDICARE PIN (08)TN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164654547
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124125858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 2 + 5 + 8 + 5 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1164654547 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497869861DR. JAMES WILLIAM BRANN M.D.
Individual
Obstetrics & Gynecology1255 E COLLEGE ST SUITE 100
PULASKI, TN 38478
(931) 424-5400
1376712927R.J. LEGREID II, MD
Organization
Specialist1255 E COLLEGE ST
PULASKI, TN 38478
(931) 363-0343
1578792768WYNN GYNECOLOGY & OBSTETRICS, PLLC
Organization
Obstetrics & Gynecology1255 E COLLEGE ST STE. 100
PULASKI, TN 38478
(931) 207-8708
1629414719AMG HILLSIDE LLC
Organization
Obstetrics & Gynecology1255 E COLLEGE ST SUITE 100
PULASKI, TN 38478
(931) 424-6678
1285606277 JULIAN E ALLEN MD
Individual
Surgery1255 E COLLEGE ST SUITE 500
PULASKI, TN 38478
(931) 363-8055
1417076290DR. BRETT ARIC NELSON M.D.
Individual
Internal Medicine1255 E COLLEGE ST SUITE 400
PULASKI, TN 38478
(931) 363-3086
1689968109AMG-HILLSIDE, LLC
Organization
Surgery1255 E COLLEGE ST SUITE 500
PULASKI, TN 38478
(931) 363-8055
1508003815DR. CARA RILEY DO
Individual
Family Medicine1255 E COLLEGE ST SUITE 100
PULASKI, TN 38478
(931) 424-9388
1053734186AMG-HILLSIDE LLC
Organization
Internal Medicine1255 E COLLEGE ST SUITE 400
PULASKI, TN 38478
(931) 967-0543

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164654547, enumerated in the NPI registry as an "organization" on August 18, 2009

The provider is located at 1255 E College St Suite 500 Pulaski, Tn 38478 and the phone number is (931) 363-7531

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 18, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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