Organization Active NPI

Wound Care Solutions of Tennessee, LLC

  • General Practice Physician
  • Maryville, TN
National Provider Identifier
1033968433
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WOUND CARE SOLUTIONS OF TENNESSEE, LLC
Practice address
611 S Washington St
Maryville, TN 37804-5805
Phone
(770) 714-9292
NPI assigned
May 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Daniel H James
Title
Co-Owner
Phone
(770) 714-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

611 S Washington St
Maryville, TN 37804-5805

Mailing address

611 S Washington St
Maryville, TN 37804-5805
Phone (770) 714-9292

National Provider Directory

National Provider Directory

Locations

611 S Washington St
Maryville, TN 37804
Phone (770) 714-9292

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1033968433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S WASHINGTON ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045805",
            "telephone_number": "770-714-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S WASHINGTON ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045805",
            "telephone_number": "770-714-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SOLUTIONS OF TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "770-714-9292"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.