NPIMap

Organization Active NPI

Campbell Cunningham Taylor PC

  • Durable Medical Equipment & Medical Supplies
  • Sevierville, TN
National Provider Identifier
1356678882
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAMPBELL CUNNINGHAM TAYLOR PC
Practice address
962 Dolly Parton Pkwy
Sevierville, TN 37862-3707
Phone
(865) 428-8000
Fax
(865) 428-2091
NPI assigned
Nov 4, 2009
Last updated
Jun 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Mr. Leslie B. Cunningham, MD
Title
MD
Phone
(865) 584-2127

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Ophthalmology Physician 207W00000X

Addresses

Primary practice location

962 Dolly Parton Pkwy
Sevierville, TN 37862-3707

Mailing address

962 Dolly Parton Pkwy
Sevierville, TN 37862-3707
Phone (865) 428-8000

Other identifiers 3

IdentifierTypeStateIssuer
0645010002OtherTNDME
3371152OtherTNMEDICARE
3371152MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930042673 TN DME Supplier - Physician - OphthalmologyDME Supplier - OpticianDME Supplier - Physician - Optometrist 0244216562 Practice locations: Sevierville, TN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Campbell Cunningham Taylor PC962 Dolly Parton Pkwy, Sevierville, TN 37862-3707(865) 428-8000 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Apr 1, 1990

National Provider Directory

National Provider Directory
Tax ID family
Campbell Cunningham Tayloe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1356678882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 DOLLY PARTON PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623707",
            "telephone_number": "865-428-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 DOLLY PARTON PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623707",
            "telephone_number": "865-428-8000",
            "fax_number": "865-428-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CUNNINGHAM TAYLOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "865-584-2127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0645010002",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3371152",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3371152",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.

Verify at the official NPI Registry.