Organization Active NPI

SGJ & P Inc

  • Durable Medical Equipment & Medical Supplies
  • Smithville, TN
National Provider Identifier
1689655250
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SGJ & P INC
Practice address
516B W Main St
Smithville, TN 37166-1118
Phone
(615) 597-7822
Fax
(615) 597-1112
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Sarah Fuson
Title
Owner
Phone
(615) 597-7822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

516B W Main St
Smithville, TN 37166-1118

Mailing address

PO Box 299
Smithville, TN 37166-0299
Phone (615) 597-7822

Other identifiers 2

IdentifierTypeStateIssuer
9449808MedicaidTN
4427313OtherTNNCPDP

Other names 1

  • JOHNNYS DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930091061 TN DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5991826919 Practice locations: Smithville, TN
O20150210001370 TN Part B Supplier - Mass Immunization (Roster Biller Only) 5991826919 Practice locations: Smithville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
SGJ & P Inc516 W Main St, Smithville, TN 37166-1142(615) 597-7822 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory
Tax ID family
Johnny'S Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1689655250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371660299",
            "telephone_number": "615-597-7822",
            "fax_number": "615-597-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516B W MAIN ST",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661118",
            "telephone_number": "615-597-7822",
            "fax_number": "615-597-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGJ & P INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "FUSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-597-7822"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9449808",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4427313",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNNYS DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JOHNNYS DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.