CCD Medical Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CCD MEDICAL SERVICES LLC

Practice address

228 N Fairmont Ave
Morristown, TN 37814-3768

Phone

(423) 586-6263

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

David R Kragel, PHARMD

Title

Owner/Authorized Official

Phone

(423) 586-6263

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1346963444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143768",
            "telephone_number": "423-586-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143768",
            "telephone_number": "423-586-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCD MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "KRAGEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "423-586-6263",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasiel Castro, BA
• Mirta Epifania Caswell, B.A., B.S.
• Teresa Gail Cathcart, R.N.
• Kevin Guy Catney, MD
• Ryan William Catterson, PHARMD
• CCD Operating LLC
• CCD Operating LLC Dba Crescent Center Drugs
• Debra Lee Chaffee, PHARMACIST
• Champion Physical Therapy LLC Halls
• Champion Physical Therapy LLC Halls

• Family Medicine Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.