Active NPI
Ado Inc.
- Family Medicine Physician
- Tazewell, TN
National Provider Identifier
1508334129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADO INC.
- Practice address
- 951 N Broad St
Tazewell, TN 37879-4323 - Phone
- (423) 259-8661
- Fax
- (423) 259-8662
- NPI assigned
- Nov 13, 2018
- Organization subpart
- Yes
- Parent organization
- ADO INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Lewis Martin
- Title
- Ceo
- Phone
- (423) 259-8661
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
951 N Broad St
Tazewell, TN 37879-4323
Mailing address
951 N Broad St
Tazewell, TN 37879-4323
Phone (423) 259-8661
Other practice location 1
2975 maynardville hwy
maynardville, TN 37807
Phone (423) 259-8661 ext. 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190111001363 | TN | Part B Supplier - Clinic/Group Practice | 9335485309 |
Receives reassigned benefits from 8 practitioners Practice locations: Maynardville, TN; Tazewell, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2128145 | Ado Inc | Provider-performed microscopy | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Part of
- Ado Inc
Locations
951 N Broad St
#2
Tazewell, TN 37879
951 N Broad St
Ste A
Tazewell, TN 37879
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Tazewell, TN
- NPI 1528620473
Family Medicine, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706832000000",
"number": "1508334129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 N BROAD ST",
"city": "TAZEWELL",
"state": "TN",
"postal_code": "378794323",
"telephone_number": "423-259-8661",
"fax_number": "423-259-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 N BROAD ST",
"city": "TAZEWELL",
"state": "TN",
"postal_code": "378794323",
"telephone_number": "423-259-8661",
"fax_number": "423-259-8662"
}
],
"practiceLocations": [
{
"address_1": "2975 maynardville hwy",
"address_purpose": "LOCATION",
"city": "maynardville",
"state": "TN",
"postal_code": "37807",
"country_code": "US",
"telephone_number": "423-259-8661 x2",
"fax_number": "423-259-8662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADO INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADO INC.",
"enumeration_date": "2018-11-13",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "423-259-8661"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.