Active NPI
Comprehensive Medical Supply
- Prosthetic/Orthotic Supplier
- East Ridge, TN
National Provider Identifier
1225065147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 3037
- Legal business name
- COMPREHENSIVE MEDICAL SUPPLY
- Practice address
- 4120C Ringgold Rd
East Ridge, TN 37412-2436 - Phone
- (423) 629-7793
- Fax
- (423) 629-7199
- NPI assigned
- Jun 27, 2006
- Last updated
- Jun 20, 2008
- 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
- Mr. Gary L Hedges
- Title
- President
- Phone
- (423) 629-7793
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3037 | GA | |
| Prosthetic/Orthotic Supplier | 335E00000X | 3037 | GA | Primary |
Addresses
Primary practice location
4120C Ringgold Rd
East Ridge, TN 37412-2436
Mailing address
PO Box 91415
East Ridge, TN 37412-6415
Phone (423) 629-7793
National Provider Directory
National Provider DirectoryLocations
4120 Ringgold Rd
Ste C
East Ridge, TN 37412
Phone (423) 629-7793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1225065147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91415",
"city": "EAST RIDGE",
"state": "TN",
"postal_code": "374126415",
"telephone_number": "423-629-7793",
"fax_number": "423-629-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120C RINGGOLD RD",
"city": "EAST RIDGE",
"state": "TN",
"postal_code": "374122436",
"telephone_number": "423-629-7793",
"fax_number": "423-629-7199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-27",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "HEDGES",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-629-7793",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "3037",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "GA",
"license": "3037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Ridge, TN
- Cal City Medical Supply, Inc. (Smart Remedies)
- Caring Steps Solution Inc
- Andrea Michelle Cash, PTA
- Andrea Nicole Christensen, DPT
- Cole Vision Corporation
- Annunciata Marie-Victoria Corey, M.S. ED., CCC-SLP
- Crossroads Urgent Care, PLLC (Physicians Care - East Ridge)
- Karon Annette Culp, CPM, CLC, CD(DONA)
- Laurie Deanne Davis, FNP-BC
- Tamara Karaba Davis, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.