TULLAHOMA PHYSICIANS GROUP, PLLC
NPI 1568759637
Emergency Medicine in Tullahoma, TN

NPI Status: Active since July 08, 2011

Contact Information

1801 N JACKSON ST
TULLAHOMA, TN
ZIP 37388
Phone: (931) 393-3000
Fax: (770) 874-5483

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  • Organization
  • Emergency Medicine
  • CLIA Number: 44D2272087
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 11-14-2026

About TULLAHOMA PHYSICIANS GROUP, PLLC

This page provides the complete NPI Profile along with additional information for Tullahoma Physicians Group, Pllc, a provider established in Tullahoma, Tennessee operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1568759637 assigned on July 2011. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 8 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 authorized official of this NPI record is Mr. Christopher Brian Durham (President)

NPI
1568759637
Provider Name
TULLAHOMA PHYSICIANS GROUP, PLLC
Entity Type
Organization
Location Address
1801 N JACKSON ST TULLAHOMA, TN 37388
Location Phone
(931) 393-3000
Location Fax
(770) 874-5483
Mailing Address
5665 NEW NORTHSIDE DR NW SUITE 320 ATLANTA, GA 30328
Mailing Phone
(770) 874-5439
Mailing Fax
(770) 874-5483
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2011
Last Update Date
03-03-2017
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.

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

MR. CHRISTOPHER BRIAN DURHAM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 874-5400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2272087
Facility Type
School/Student Health Service
Certificate Effective Date
November 15, 2024
Certificate Expiration Date
November 14, 2026
Laboratory Director
CATHERINE STEPHENS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tullahoma Physicians Group, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TULLAHOMA PHYSICIANS GROUP, PLLC

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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.
1568759637
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281451866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 5 + 1 + 8 + 6 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1568759637 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932195351 JOEL STANLEY BIRDWELL M.D.
Individual
Radiology (Diagnostic Radiology)1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-3000
1801873708MEDICAL IMAGING CONSULTANTS, PC
Organization
Radiology (Diagnostic Radiology)1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-7984
1043283765 ROBBIE M. WEBB N.P.
Individual
Nurse Practitioner1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 461-4921
1982670683 BYRON K ROBISON MD
Individual
Specialist1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-7901
1912953688 WILLIAM DYRK HALSTEAD MD
Individual
Emergency Medicine1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-3000
1225084999 ROBERT D DOTY JR. MD
Individual
Emergency Medicine1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-3000
1073554960HIGHLAND RIM ANESTHESIA, P.C.
Organization
Anesthesiology1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 455-3649
1235166091 CHARLES H PADGET M.D.
Individual
Anesthesiology1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 455-3649
1679771125MRS. JULIE JONES COTTRELL RD, LD, MS, CDE
Individual
Dietitian, Registered1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 461-4700
1528267556MRS. MIRANDA A LOWERY RD
Individual
Dietitian, Registered1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-3000
1003016213MS. PENNY CAROLYN TIPPS PT
Individual
Physical Therapist1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-7964
1336319938 MARY-KATHERINE GRAF OTR/L
Individual
Occupational Therapist1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-3000
1083951834 JAMES ESTES NP
Individual
Nurse Practitioner1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 461-4584
1447576350 VALRY WARD BARR JR. M.D., FACS
Individual
Neurological Surgery1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 454-1067
1063456770TULLAHOMA HMA, LLC
Organization
Specialist1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-7901
1093912487 ANJALIE JULIE JOSHI M.D.
Individual
Hospitalist1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-3000
1215357868RED ROCK ANESTHESIA, PLLC
Organization
Anesthesiology1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-3000
1255742946TULLAHOMA HOSPITALIST GROUP, PLLC
Organization
Hospitalist1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-3000
1922052869TULLAHOMA HMA LLC
Organization
General Acute Care Hospital1801 N JACKSON ST
TULLAHOMA, TN 37388
(931) 393-7901
1679843551MRS. PHILICIA ANN TAYLOR CRNA
Individual
Nurse Anesthetist, Certified Registered1801 N JACKSON ST
TULLAHOMA, TN 37388
(828) 398-5244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568759637, enumerated in the NPI registry as an "organization" on July 08, 2011

The provider is located at 1801 N Jackson St Tullahoma, Tn 37388 and the phone number is (931) 393-3000

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider's CLIA number is 44D2272087 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 08, 2011. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.