Active NPI
Full Access Medical PLLC
- Durable Medical Equipment & Medical Supplies
- Decatur, TN
National Provider Identifier
1194551358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.