Organization Active NPI

Chandler Scott Edwards

  • Oxygen Equipment & Supplies (DME)
  • Greeneville, TN
National Provider Identifier
1003981010
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
APPLIED FOR 11-22-06 Issued in TN
Legal business name
CHANDLER SCOTT EDWARDS
Doing business as
OxyCare
Practice address
1758 E Andrew Johnson Hwy
Greeneville, TN 37745-4278
Phone
(423) 798-8021
Fax
(423) 798-8023
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Holly Beth Stallsmith
Title
General Manager Ceo
Phone
(423) 798-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X APPLIED FOR 11-22-06 TN Primary

Addresses

Primary practice location

1758 E Andrew Johnson Hwy
Greeneville, TN 37745-4278

Mailing address

1758 E Andrew Johnson Hwy
Greeneville, TN 37745-4278
Phone (423) 798-8021

Other identifiers 2

IdentifierTypeStateIssuer
1455162MedicaidTN
4159565OtherTNBLUECROSS BLUESHIELD

Other names 1

  • OxyCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1003981010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454278",
            "telephone_number": "423-798-8021",
            "fax_number": "423-798-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454278",
            "telephone_number": "423-798-8021",
            "fax_number": "423-798-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER SCOTT EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "STALLSMITH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "GENERAL MANAGER CEO",
        "authorized_official_telephone_number": "423-798-8021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "APPLIED FOR 11-22-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455162",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4159565",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OxyCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.