Organization Active NPI

Scenic City Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
National Provider Identifier
1093820342
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000726 Issued in TN
Legal business name
SCENIC CITY MEDICAL EQUIPMENT LLC
Practice address
4301 Founders Way
Ste. C
Chattanooga, TN 37416-3680
Phone
(423) 847-1202
Fax
(423) 847-1225
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Greg A Brown
Title
General Partner
Phone
(423) 847-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000726 TN Primary

Addresses

Primary practice location

4301 Founders Way
Ste. C
Chattanooga, TN 37416-3680

Mailing address

PO Box 833
Hixson, TN 37343-0833
Phone (423) 847-1202

Other identifiers 1

IdentifierTypeStateIssuer
1454162MedicaidTN

National Provider Directory

National Provider Directory

Locations

4301 Founders Way
Ste C
Chattanooga, TN 37416
Phone (423) 847-1202

1941 Old York Hwy E
Dunlap, TN 37327
Phone (423) 949-2200

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1093820342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373430833",
            "telephone_number": "423-847-1202",
            "fax_number": "423-847-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 FOUNDERS WAY",
            "address_2": "STE. C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163680",
            "telephone_number": "423-847-1202",
            "fax_number": "423-847-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC CITY MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "423-847-1202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454162",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.