Active NPI
Air Affiliates Inc
- Durable Medical Equipment & Medical Supplies
- Jellico, TN
National Provider Identifier
1275548612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000501
- Legal business name
- AIR AFFILIATES INC
- Practice address
- 290 North Main St
Jellico, TN 37762-2132 - Phone
- (423) 784-0988
- Fax
- (423) 784-0986
- NPI assigned
- Jul 31, 2006
- Organization subpart
- Yes
- Parent organization
- AIR AFFILIATES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark L Curtis
- Title
- Cfo
- Phone
- (615) 460-0017
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000501 | TN | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0000000501 | TN | |
| Clinic Pharmacy | 3336C0002X | 0000001805 | TN | |
| Prosthetic/Orthotic Supplier | 335E00000X | 22309 | TN |
Addresses
Primary practice location
290 North Main St
Jellico, TN 37762-2132
Mailing address
PO Box 90508
Nashville, TN 37209-0508
Phone (615) 460-0017
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90004185 | Medicaid | KY | |
| 54005160 | Other | KY | FIRST HEALTH |
| 000001226566 | Other | TN | CHA HEALTH |
| 040032400 | Other | TN | DOL DCMWC |
| 557723400 | Other | TN | DOL DCMWC PHARM |
| 10293 | Other | TN | SUNBELT MEDICAL |
National Provider Directory
National Provider Directory- Part of
- Air Affiliates Inc
Locations
290 N Main St
Jellico, TN 37762
Phone (423) 784-0988
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
- NPI 1184732703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228867200000",
"number": "1275548612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90508",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372090508",
"telephone_number": "615-460-0017",
"fax_number": "615-463-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 NORTH MAIN ST",
"city": "JELLICO",
"state": "TN",
"postal_code": "377622132",
"telephone_number": "423-784-0988",
"fax_number": "423-784-0986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR AFFILIATES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR AFFILIATES INC",
"enumeration_date": "2006-07-31",
"last_updated": "2008-12-10",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "615-460-0017"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000501",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TN",
"license": "0000000501",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "TN",
"license": "0000001805",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TN",
"license": "22309",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90004185",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "54005160",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA HEALTH",
"identifier": "000001226566",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL DCMWC",
"identifier": "040032400",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL DCMWC PHARM",
"identifier": "557723400",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUNBELT MEDICAL",
"identifier": "10293",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jellico, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.