| Northside Medical Professionals, P.C. | |
|
1605 Nashville Hwy Ste. 200 Columbia TN 38401-2071 | |
| (931) 540-4210 | |
| (931) 380-1202 |
| Full Name | Northside Medical Professionals, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 1605 Nashville Hwy, Columbia, Tennessee |
| Authorized Official Name and Position | Shawn Gentry (COO) |
| Authorized Official Contact | 9315404210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Medical Professionals, P.C. 1605 Nashville Hwy Ste. 200 Columbia TN 38401-2071 Ph: (931) 540-4210 | Northside Medical Professionals, P.C. 1605 Nashville Hwy Ste. 200 Columbia TN 38401-2071 Ph: (931) 540-4210 |
| NPI Number | 1295044097 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 09/28/2010 |
| Medicare PECOS PAC ID | 8224224357 |
|---|---|
| Medicare Enrollment ID | O20101201000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295044097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Belinda K Bart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962515023 PECOS PAC ID: 3375431588 Enrollment ID: I20040309000835 |
| Provider Name | Allison E Rolston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316050586 PECOS PAC ID: 1355230137 Enrollment ID: I20040311000193 |
| Provider Name | Shawn N Gentry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891708012 PECOS PAC ID: 9436049707 Enrollment ID: I20040318001633 |
| Provider Name | Richard Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467428680 PECOS PAC ID: 5294799870 Enrollment ID: I20041113000181 |
| Provider Name | Carey B Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659484897 PECOS PAC ID: 6406884386 Enrollment ID: I20050802000039 |
| Provider Name | Allison Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962466391 PECOS PAC ID: 3274549191 Enrollment ID: I20060302000212 |
| Provider Name | Charles Cornett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831191667 PECOS PAC ID: 4981622578 Enrollment ID: I20070719000723 |
| Provider Name | Christy M Cone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093931628 PECOS PAC ID: 9537252424 Enrollment ID: I20070910000092 |
| Provider Name | John a Novak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306807292 PECOS PAC ID: 1658551882 Enrollment ID: I20110204000895 |
| Provider Name | Christy S Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740531938 PECOS PAC ID: 9537301973 Enrollment ID: I20130814000135 |
| Provider Name | Peggy Leann Schmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699198010 PECOS PAC ID: 6608092226 Enrollment ID: I20140716002553 |
| Provider Name | Belinda Romer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467640714 PECOS PAC ID: 9739402397 Enrollment ID: I20150106002599 |
| Provider Name | Christopher S Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326441056 PECOS PAC ID: 2567781412 Enrollment ID: I20150428000714 |
| Provider Name | Niccole R Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750750790 PECOS PAC ID: 8224348792 Enrollment ID: I20151112002491 |
| Provider Name | Lindsey Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831562685 PECOS PAC ID: 6002119088 Enrollment ID: I20160126000358 |
| Provider Name | Jeffie H Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427444082 PECOS PAC ID: 4981908571 Enrollment ID: I20160202000416 |
| Provider Name | Elizabeth F Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619335866 PECOS PAC ID: 9133428030 Enrollment ID: I20160427001745 |
| Provider Name | Linda P Monroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912006859 PECOS PAC ID: 9032007521 Enrollment ID: I20170328000403 |
| Provider Name | Margaret K Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542784 PECOS PAC ID: 8820333073 Enrollment ID: I20181217003129 |
| Provider Name | Jennifer Rikard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740774025 PECOS PAC ID: 2264771443 Enrollment ID: I20190306000488 |
| Provider Name | Regina Ann Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575816 PECOS PAC ID: 3577999754 Enrollment ID: I20200206001461 |
| Provider Name | Jennifer Renee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174153555 PECOS PAC ID: 8224469648 Enrollment ID: I20200518003187 |
| Provider Name | Angela Mccally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740875855 PECOS PAC ID: 0941617534 Enrollment ID: I20210326001297 |
| Provider Name | Terri Christine Lacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003578287 PECOS PAC ID: 6608264809 Enrollment ID: I20211020001758 |
| Provider Name | Madeline F Cass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962008755 PECOS PAC ID: 6305232604 Enrollment ID: I20220414000884 |
| Provider Name | Kimberly a Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871255174 PECOS PAC ID: 1557737558 Enrollment ID: I20221017000942 |
| Provider Name | Ashlyn S Upshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851029094 PECOS PAC ID: 9032586490 Enrollment ID: I20221028000059 |
| Provider Name | Casandra Ban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548981608 PECOS PAC ID: 2668842949 Enrollment ID: I20230103000008 |
| Provider Name | Kristy Yentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124381371 PECOS PAC ID: 0941454797 Enrollment ID: I20240807000469 |
| Provider Name | Crystal D. Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457195380 PECOS PAC ID: 4688113269 Enrollment ID: I20240827003029 |
| Provider Name | Sarah D Surber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356239032 PECOS PAC ID: 4284149162 Enrollment ID: I20250711001241 |
Columbia Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 Trotwood Ave, Ste 101, Columbia, TN 38401 Phone: 931-388-8965 Fax: 931-388-0815 |
Ybs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 N James Campbell Blvd Suite 114, Columbia, TN 38401 Phone: 662-212-4386 |
Core Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 W 7th St, Columbia, TN 38401 Phone: 931-388-9706 Fax: 931-490-1062 |
Zetty Jean Vitality Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1225 Hampshire Pike, Columbia, TN 38401 Phone: 931-982-6333 |
Agape Family Health, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 S Garden St, Columbia, TN 38401 Phone: 931-548-8090 Fax: 931-548-8110 |
Prohealth Rural Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Bear Creek Pike, Columbia, TN 38401 Phone: 931-381-7567 Fax: 931-374-9958 |