Paragon Nutrition Care, LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

PARAGON NUTRITION CARE, LLC

Practice address

115 Market St E Ste B
Fayetteville, TN 37334-3092

Phone

(931) 433-9799

Fax

(866) 491-5888

NPI assigned

Mar 10, 2011

Organization subpart

No

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

Authorized official

Name

Martin McGovern

Title

President / Ceo

Phone

(931) 433-9799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1689972960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MARKET ST E STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343092",
            "telephone_number": "931-433-9799",
            "fax_number": "866-491-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MARKET ST E STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343092",
            "telephone_number": "931-433-9799",
            "fax_number": "866-491-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON NUTRITION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "931-433-9799"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Parenteral & Enteral Nutrition Supplies (DME) in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.