Provider Demographics
NPI:1851407548
Name:NASH, TIMOTHY A (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:A
Last Name:NASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 W JAMES CAMPBELL BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4659
Mailing Address - Country:US
Mailing Address - Phone:931-540-4255
Mailing Address - Fax:931-359-7381
Practice Address - Street 1:1090 N ELLINGTON PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2227
Practice Address - Country:US
Practice Address - Phone:931-359-0019
Practice Address - Fax:931-359-7381
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17374207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3710089Medicaid
TN3034314Medicaid
TN3122953OtherBCBSTN
TN3710081Medicaid
TN110187222Medicare PIN
TN3122953OtherBCBSTN
TN3710089Medicare PIN
TN3034310Medicare PIN
TNA99784Medicare UPIN
TN3710089Medicaid
TNCE0561Medicare PIN