Organization Active NPI

American Homepatient, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Kingsport, TN
National Provider Identifier
1235104100
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0000001192 Issued in TN
Legal business name
AMERICAN HOMEPATIENT, INC.
Practice address
4105 Fort Henry Dr
Suite 205
Kingsport, TN 37663-2240
Phone
(423) 247-4032
Fax
(423) 247-2774
NPI assigned
Feb 22, 2006
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mr. Greg McCarthy
Title
Coo
Phone
(727) 530-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 425 TN
Oxygen Equipment & Supplies (DME) 332BX2000X 0000001192 TN Primary

Addresses

Primary practice location

4105 Fort Henry Dr
Suite 205
Kingsport, TN 37663-2240

Mailing address

PO Box 532697
Atlanta, GA 30353-2697
Phone (229) 257-0075

Other identifiers 2

IdentifierTypeStateIssuer
9123512MedicaidVA
3562204MedicaidTN

National Provider Directory

National Provider Directory

Member of 15

Organizations this organization is a member of, according to the National Provider Directory.

View all 15

Locations

4105 Fort Henry Dr
Ste 205
Kingsport, TN 37663
Phone (423) 247-4032

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1235104100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532697",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532697",
            "telephone_number": "229-257-0075",
            "fax_number": "229-259-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 FORT HENRY DR",
            "address_2": "SUITE 205",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632240",
            "telephone_number": "423-247-4032",
            "fax_number": "423-247-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOMEPATIENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "727-530-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TN",
            "license": "425",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000001192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9123512",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3562204",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.