Active NPI
Graybeal Orthopedic LLC
Doing business as Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Mayking, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- GRAYBEAL ORTHOPEDIC LLC
- Doing business as
- Anchor Brace and Limb
- Practice address
- 127 Willow Dr Ste F
Mayking, KY 41837-8303 - Phone
- (606) 331-3188
- Fax
- (606) 203-2780
- NPI assigned
- Nov 14, 2024
- Last updated
- Aug 3, 2026
- Organization subpart
- Yes
- Parent organization
- GRAYBEAL ORTHOPEDIC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adam Lee Fann, CPO
- Title
- Owner
- Phone
- (423) 975-9884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
127 Willow Dr Ste F
Mayking, KY 41837-8303
Mailing address
107 E Myrtle Ave
Johnson City, TN 37601-4631
Phone (423) 975-9884
Other names 1
- Anchor Brace and Limb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250505000780 | KY | DME Supplier - Certified Orth/Pros/Pedorthist | 2163542234 | Practice locations: Whitesburg, KY |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Norton, VA
- NPI 1346958626
2163542234
-
dba Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Bristol, TN
- NPI 1598354607
2163542234
-
dba Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Kingsport, TN
- NPI 1740951714
2163542234
-
dba Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Johnson City, TN
- NPI 1265452650
2163542234
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Graybeal Orthopedic LLC | Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Graybeal Orthopedic LLC
- Part of
- Graybeal Orthopedic LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Norton, VA
- NPI 1346958626
-
dba Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Bristol, TN
- NPI 1598354607
-
dba Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Kingsport, TN
- NPI 1740951714
-
dba Anchor Brace and Limb
- Prosthetic/Orthotic Supplier
- Johnson City, TN
- NPI 1265452650
Locations
127 Willow Dr
Ste F
Mayking, KY 41837
Phone (606) 331-3188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1275357378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E MYRTLE AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014631",
"telephone_number": "423-975-9884",
"fax_number": "423-975-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 WILLOW DR STE F",
"city": "MAYKING",
"state": "KY",
"postal_code": "418378303",
"telephone_number": "606-331-3188",
"fax_number": "606-203-2780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAYBEAL ORTHOPEDIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GRAYBEAL ORTHOPEDIC LLC",
"enumeration_date": "2024-11-14",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "FANN",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-975-9884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anchor Brace and Limb",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Anchor Brace and Limb",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mayking, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.