SOUTHERN TENNESSEE CARDIOLOGY, PLLC
NPI 1649504143
Internal Medicine - Cardiovascular Disease in Winchester, TN

Active since September 30, 2009CLIA 44D1106576 · Waiver
155 HOSPITAL RD, STE. G, WINCHESTER, TN 37398(931) 967-7227 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southern Tennessee Cardiology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN TENNESSEE CARDIOLOGY, PLLC (NPI 1649504143) is a healthcare organization registered as a cardiovascular disease in Winchester, Tennessee and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Mircea Basaraba, Owner, as its authorized official.

NPPES Registry Identity

NPI1649504143
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHERN TENNESSEE CARDIOLOGY, PLLC
Location Address155 HOSPITAL RD, STE. GWinchester, TN 37398-2494
Mailing Address155 Hospital Rd, Ste. GWinchester, TN 37398-2494 · (931) 967-7227
Organization SubpartNo
Authorized OfficialMircea BasarabaOwner · (931) 967-7227
Enumeration DateSeptember 30, 2009
✔ NPI 1649504143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
155 HOSPITAL RD, Winchester, TN 37398

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Tennessee Cardiology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Tennessee Cardiology, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Cardiovascular Disease (Cardiology)
NPI 1316974637
155 HOSPITAL RD STE G
Winchester, TN 37398
(931) 967-7227
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1841777927
2400 PATTERSON ST STE 502
Nashville, TN 37203
(615) 515-1900
✔ PECOS✔ Accepts Medicare79 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1106576

Southern Tennessee Cardiology LLC · Winchester, TN
Active · expires Oct 18, 2027
CLIA Number44D1106576
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorMircea M. Basaraba
Laboratory Phone(931) 967-7227
Laboratory LocationSouthern Tennessee Cardiology LLC2210 Cowan Hwy, Winchester, TN 37398
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Tennessee Cardiology, PLLC's NPI number?

The NPI number for Southern Tennessee Cardiology, PLLC is 1649504143. It was assigned to this organization in the NPPES registry on September 30, 2009.

Where is Southern Tennessee Cardiology, PLLC located?

Southern Tennessee Cardiology, PLLC is located at 155 Hospital Rd Ste. G, Winchester, TN 37398. The listed phone number is (931) 967-7227.

What is Southern Tennessee Cardiology, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Southern Tennessee Cardiology, PLLC enrolled in Medicare?

Yes. Southern Tennessee Cardiology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Tennessee Cardiology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Tennessee Cardiology, PLLC, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Tennessee Cardiology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1106576) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Tennessee Cardiology, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Tennessee Cardiology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Tennessee Cardiology, PLLC was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.