Logan Marcus O'Handley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

207 Poor Valley Creek Rd
Rogersville, TN 37857-7319

Phone

(423) 647-7506

NPI assigned

Jan 9, 2023

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1396459038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 POOR VALLEY CREEK RD",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378577319",
            "telephone_number": "423-647-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 POOR VALLEY CREEK RD",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378577319",
            "telephone_number": "423-647-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANDLEY",
        "first_name": "LOGAN",
        "middle_name": "MARCUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Murrell, FNP
• Jordan Scott Nickels
• Sharon Renee Nickels, R.N.
• Jeffrey Alan Nix
• Northeast Tennessee Emergency Physicians PC
• Tony Okafor
• Orenda Therapeutic Services, PLLC
• Rachel Lauren Osborne Metzgar, MD
• P and S Pharmacy Inc of Rogersville (U Save Discount Drugs)
• Lisa Lynn Pearson, R.D.

• Behavior Technician in Rogersville, TN
• Providers in Rogersville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.