MEDICARE: ANESTHESIA ASSOCIATES OF COLUMBIA TN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1871979781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA ASSOCIATES OF COLUMBIA TN LLC

Provider Business Mailing Address
First Line	:	1A BURTON HILLS BLVD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6100
Country	:	US
Telephone Number	:	615-240-3809
Fax Number	:	615-234-1809

Provider Business Practice Location Address
First Line	:	725 SOUTH JAMES CAMPBELL BLVD
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4825
Country	:	US
Telephone Number	:	931-381-7818
Fax Number	:	931-381-5625

Authorized Official
Title or Position	:	PRESIDENT OF LLC
Name	:	MR. PHILLIP CLENDENIN
Credential	:
Telephone Number	:	615-665-1283

Provider Enumeration Date	:	08/03/2015
Last Update Date	:	01/30/2026

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