Organization Active NPI

Full Access Medical PLLC

  • Durable Medical Equipment & Medical Supplies
  • Decatur, TN
National Provider Identifier
1194551358
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FULL ACCESS MEDICAL PLLC
Practice address
16850 State Highway 58 S Ste D3
Decatur, TN 37322-5259
Phone
(423) 506-0140
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
English Paige Roberts, FNP
Title
Owner
Phone
(423) 506-3781

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

16850 State Highway 58 S Ste D3
Decatur, TN 37322-5259

Mailing address

16850 State Highway 58 S Ste D3
Decatur, TN 37322-5259
Phone (423) 506-0140

National Provider Directory

National Provider Directory

Locations

16850 State Highway 58 S
Ste D3
Decatur, TN 37322
Phone (423) 506-0140

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1194551358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16850 STATE HIGHWAY 58 S STE D3",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373225259",
            "telephone_number": "423-506-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 STATE HIGHWAY 58 S STE D3",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373225259",
            "telephone_number": "423-506-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL ACCESS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ENGLISH",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-506-3781",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.