Individual provider Active NPI

Jerry David Hinton, LPO, LPED, BOCPO, CO

  • Prosthetist
  • Morristown, TN
National Provider Identifier
1619201274
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
PRO0000000072 Issued in TN
Practice address
1044 S Cumberland St
Morristown, TN 37813-5235
Phone
(423) 318-8824
Fax
(423) 318-2872
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X ORT0000000138 TN
Prosthetist 224P00000X PRO0000000072 TN Primary

Addresses

Primary practice location

1044 S Cumberland St
Morristown, TN 37813-5235

Mailing address

1044 S Cumberland St
Morristown, TN 37813-5235
Phone (423) 318-8824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ORT0000000138TNMDOrthotist
PRO0000000072TNMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Brace & Limb Enterprise, LLC Current Accepting new patients
American Brace & Limb Enterprise, LLC Orthotist Current Accepting new patients

Locations

9333 Park West Blvd
Ste 103
Knoxville, TN 37923
Phone (423) 318-8824

1044 S Cumberland St
Morristown, TN 37813
Phone (423) 318-8824

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1619201274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 S CUMBERLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135235",
            "telephone_number": "423-318-8824",
            "fax_number": "423-318-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S CUMBERLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135235",
            "telephone_number": "423-318-8824",
            "fax_number": "423-318-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTON",
        "first_name": "JERRY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPO, LPED, BOCPO, CO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "ORT0000000138",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "PRO0000000072",
            "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 Dec 19, 2019; 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.