NPIMap

Organization Active NPI

Appalachian Orthopaedic Associates P C

Doing business as Appalachian Orthopedics Associates, PC

  • Orthopaedic Surgery Physician
  • Rogersville, TN
National Provider Identifier
1063875649
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Doing business as
Appalachian Orthopaedic Associates P C
Appalachian Orthopedics Associates, PC
Practice address
401 Scenic Dr
Rogersville, TN 37857-2452
Phone
(423) 844-6450
Fax
(423) 844-6499
NPI assigned
Apr 1, 2016
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN ORTHOPAEDIC ASSOCIATES P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Tammi Renea Wright
Title
Cfo
Phone
(423) 239-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

401 Scenic Dr
Rogersville, TN 37857-2452

Mailing address

401 Scenic Dr
Rogersville, TN 37857-2452
Phone (423) 844-6450

Other names 2

  • APPALACHIAN ORTHOPAEDIC ASSOCIATES P C Doing business as
  • Appalachian Orthopedics Associates, PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000433 TN Part B Supplier - Clinic/Group Practice 1052225471 Receives reassigned benefits from 49 practitioners
9 other NPIs on this enrollment
Practice locations: Bristol, TN; Elizabethton, TN; Johnson City, TN; Kingsport, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Appalachian Orthopaedic

Locations

3 Professional Park Dr
Ste 21
Johnson City, TN 37604

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1063875649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SCENIC DR",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572452",
            "telephone_number": "423-844-6450",
            "fax_number": "423-844-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SCENIC DR",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572452",
            "telephone_number": "423-844-6450",
            "fax_number": "423-844-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-239-1550"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Appalachian Orthopedics Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Appalachian Orthopedics Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogersville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.