# COLUMBIA MEDICAL GROUP-SOUTHERN HILLS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTHSERV ACQUISITION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700873171
- **Legal business name:** HEALTHSERV ACQUISITION
- **Authorized official:** DANIEL SYKES (VICE PRESIDENT)
- **Authorized official phone:** (615) 342-6878

## Contact information

- **Practice address:** 397 WALLACE RD BLDG C, SUITE 100, NASHVILLE, TN 37211-4854
- **Practice address phone:** (615) 834-6166
- **Practice address fax:** (615) 781-9755
- **Mailing address:** 397 WALLACE RD BLDG C, SUITE 100, NASHVILLE, TN 37211-4854
- **Mailing address phone:** (615) 834-6166
- **Mailing address fax:** (615) 781-9755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 10/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3708815 | — | TN |
| 01 | — | CE1731 | RR MEDICARE | TN |