NPIMap

Organization Active NPI

US Diabetes Care and Surgical Specialty of Morristown TN

  • Family Medicine Physician
  • Morristown, TN
National Provider Identifier
1427610211
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
US DIABETES CARE AND SURGICAL SPECIALTY OF MORRISTOWN TN
Practice address
2231 Sandstone Drive
Morristown, TN 37814-0000
Phone
(423) 616-0625
Fax
(423) 616-0150
NPI assigned
Jul 2, 2019
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Helen Harrell Tate
Title
Business Development
Phone
(423) 616-0625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2231 Sandstone Drive
Morristown, TN 37814-0000

Mailing address

2231 Sandstone Drive
Morristown, TN 37814-0000
Phone (423) 616-0625

Other practice location 1

4138 Durham Lndg
Morristown, TN 37813-1006
Phone (423) 586-1717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200128000615 TN Part B Supplier - Clinic/Group Practice 7719312495 Receives reassigned benefits from 12 practitioners
Practice locations: Morristown, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1427610211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 SANDSTONE DRIVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378140000",
            "telephone_number": "423-616-0625",
            "fax_number": "423-616-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 SANDSTONE DRIVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378140000",
            "telephone_number": "423-616-0625",
            "fax_number": "423-616-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4138 Durham Lndg",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378131006",
            "country_code": "US",
            "telephone_number": "423-586-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "US DIABETES CARE AND SURGICAL SPECIALTY OF MORRISTOWN TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-04-27",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "HARRELL",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "423-616-0625"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.