Individual provider Active NPI

Caleb Michal Breese, CP

  • Prosthetist
  • Athens, TN
National Provider Identifier
1265300537
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
318 Issued in TN
Practice address
740 Tell St Ste 500
Athens, TN 37303-5171
Phone
(423) 252-0149
Fax
(423) 453-5354
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 318 TN Primary

Addresses

Primary practice location

740 Tell St Ste 500
Athens, TN 37303-5171

Mailing address

740 Tell St Ste 500
Athens, TN 37303-5171
Phone (423) 252-0149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthocare, Inc Prosthetist CurrentSince Nov 8, 2025 Accepting new patients
Southern Orthocare Inc Prosthetist PastSince Nov 8, 2025 Accepting new patients

Locations

740 Tell St
Ste 500
Athens, TN 37303
Phone (423) 252-0149

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1265300537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 TELL ST STE 500",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373035171",
            "telephone_number": "423-252-0149",
            "fax_number": "423-453-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 TELL ST STE 500",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373035171",
            "telephone_number": "423-252-0149",
            "fax_number": "423-453-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREESE",
        "first_name": "CALEB",
        "middle_name": "MICHAL",
        "credential": "CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.