Physician Services Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHYSICIAN SERVICES GROUP

Practice address

9736 Dayton Pike
Suite a
Soddy Daisy, TN 37379-4727

Phone

(423) 332-5155

Fax

(423) 332-5195

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Melanie G. Faulkner

Title

Chief Operations Officer

Phone

(423) 332-5155

Specialties & licenses 2

Addresses

Other names 1

• Physician Services Group, Inc. Other name

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1124367586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9736 DAYTON PIKE",
            "address_2": "SUITE A",
            "city": "SODDY-DAISY",
            "state": "TN",
            "postal_code": "37379",
            "telephone_number": "423-332-5155",
            "fax_number": "423-332-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9736 DAYTON PIKE",
            "address_2": "SUITE A",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794727",
            "telephone_number": "423-332-5155",
            "fax_number": "423-332-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SERVICES GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "423-332-5155"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Services Group, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Ryan Owensby, PHARMD
• Giselle Monee Esmeralda Paredes, PA-C
• Parkridge Medical Center, Inc. (Parkridge Soddy-Daisy ER, a department of Parkridge Medical Center)
• Jennifer Pastusic, LCSW
• Kathleen Nicole Perez, ATC
• Ashley Vanlandingham Platzer, PA-C
• Amy Poarch, CD(DONA)
• Richard John Prichard II, DDS
• Professional Therapy Services of Tennessee, LLC
• Jessica Pruitt

• Durable Medical Equipment & Medical Supplies in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.