Organization Active NPI

Oasis Treatment Center, PC

  • Clinic/Center
  • Greeneville, TN
National Provider Identifier
1295566792
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OASIS TREATMENT CENTER, PC
Practice address
627 Asheville Hwy
Greeneville, TN 37743-5401
Phone
(423) 636-1521
Fax
(423) 636-1523
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Dr. Jo-Ann N Bolli, MD
Title
Owner
Phone
(423) 636-1521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

627 Asheville Hwy
Greeneville, TN 37743-5401

Mailing address

2365 Marvin Rd
Bulls Gap, TN 37711-3052
Phone (423) 636-1521

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2162970Oasis Treatment Center, PC627 Asheville Hwy, Greeneville, TN 37743Provider-performed microscopyMar 4, 2027

National Provider Directory

National Provider Directory

Locations

627 Asheville Hwy
Greeneville, TN 37743
Phone (423) 636-1521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1295566792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 MARVIN RD",
            "city": "BULLS GAP",
            "state": "TN",
            "postal_code": "377113052",
            "telephone_number": "423-636-1521",
            "fax_number": "423-636-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 ASHEVILLE HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377435401",
            "telephone_number": "423-636-1521",
            "fax_number": "423-636-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS TREATMENT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BOLLI",
        "authorized_official_first_name": "JO-ANN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-636-1521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.