Active NPI
Southern Orthocare, Inc
- Prosthetic/Orthotic Supplier
- Greeneville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SOUTHERN ORTHOCARE, INC
- Practice address
- 1406 Tusculum Blvd Ste 2003
Greeneville, TN 37745-4341 - Phone
- (423) 657-1400
- Fax
- (423) 657-1401
- NPI assigned
- Jun 14, 2021
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Hunstman
- Title
- Ceo
- Phone
- (423) 307-1890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
1406 Tusculum Blvd Ste 2003
Greeneville, TN 37745-4341
Mailing address
622 W 1St North St
Morristown, TN 37814-4544
Phone (423) 307-1890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211215002848 | TN | DME Supplier - Prosthetic Personnel | 9931304599 | Practice locations: Greeneville, TN |
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Southern Orthocare Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Southern Orthocare Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Morristown, TN
- NPI 1215134986
-
- Prosthetic/Orthotic Supplier
- Maryville, TN
- NPI 1467168047
-
- Prosthetic/Orthotic Supplier
- Johnson City, TN
- NPI 1790612323
-
- Prosthetic/Orthotic Supplier
- Knoxville, TN
- NPI 1841834322
-
- Prosthetic/Orthotic Supplier
- Athens, TN
- NPI 1922535111
-
- Prosthetic/Orthotic Supplier
- Middlesboro, KY
- NPI 1790043537
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
622 W 1st North St
Morristown, TN 37814
Phone (423) 307-1890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1669040861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 1ST NORTH ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378144544",
"telephone_number": "423-307-1890",
"fax_number": "423-307-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 TUSCULUM BLVD STE 2003",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377454341",
"telephone_number": "423-657-1400",
"fax_number": "423-657-1401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN ORTHOCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-14",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "HUNSTMAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "423-307-1890",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
- Jeannie Loraine Southerland, LPN
- Tracy Sharee Southerland, RN
- Southern Home Care Services, Inc (All Ways Caring HomeCare)
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Home Care Services, Inc.
- Sparmill
- Matthew Spaulding
- Tina Ann Spear, BS
- Special Needs Nursing
- Sarah Sproles, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.