Organization Active NPI

Tarheel Surgical Supply, LLC

  • Prosthetic/Orthotic Supplier
  • Thomasville, NC
National Provider Identifier
1699394221
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TARHEEL SURGICAL SUPPLY, LLC
Practice address
1040 Randolph St Ste 34
Thomasville, NC 27360-6384
Phone
(833) 761-6700
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Mr. Jason Forest Herlocker
Title
Owner
Phone
(833) 761-6700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1040 Randolph St Ste 34
Thomasville, NC 27360-6384

Mailing address

1040 Randolph St Ste 34
Thomasville, NC 27360-6384
Phone (833) 761-6700

National Provider Directory

National Provider Directory

Locations

1040 Randolph St
Ste 34
Thomasville, NC 27360
Phone (833) 761-6700

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1699394221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RANDOLPH ST STE 34",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606384",
            "telephone_number": "833-761-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RANDOLPH ST STE 34",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606384",
            "telephone_number": "833-761-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL SURGICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "HERLOCKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "FOREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-761-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.