Organization Active NPI

Tri-County Center

  • Developmentally Disabled Services Day Training Agency
  • Athens, TN
National Provider Identifier
1609913599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
L3(20)M2-086-1505 Issued in TN
Legal business name
TRI-COUNTY CENTER
Practice address
3030 Lee Hwy
Athens, TN 37303-5062
Phone
(423) 745-8902
Fax
(423) 745-8934
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Pamela Wade Perdue
Title
Executive Director
Phone
(423) 745-8902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X L3(20)M2-086-1505 TN Primary

Addresses

Primary practice location

3030 Lee Hwy
Athens, TN 37303-5062

Mailing address

PO Box 793
Athens, TN 37371-0793
Phone (423) 745-8902

Other identifiers 1

IdentifierTypeStateIssuer
00106OtherTNDMRS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

3030 Lee Hwy
Athens, TN 37303
Phone (423) 745-8902

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609913599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373710793",
            "telephone_number": "423-745-8902",
            "fax_number": "423-745-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LEE HWY",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373035062",
            "telephone_number": "423-745-8902",
            "fax_number": "423-745-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-745-8902",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L3(20)M2-086-1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMRS PROVIDER NUMBER",
            "identifier": "00106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.