Organization Active NPI

Earl B. Cameron Jr.

Doing business as Cameron Company

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, TN
National Provider Identifier
1699921486
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EARL B. CAMERON JR.
Doing business as
Cameron Company
Practice address
330 3Rd St SW
Cleveland, TN 37311-5923
Phone
(423) 614-5962
Fax
(423) 479-3133
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Mr. Earl Cameron Jr.
Title
Owner
Phone
(423) 614-5962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

330 3Rd St SW
Cleveland, TN 37311-5923

Mailing address

330 3Rd St SW
Cleveland, TN 37311-5923
Phone (423) 614-5962

Other names 1

  • Cameron Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930046265 TN DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 5597964957 Practice locations: Cleveland, 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
Earl B Cameron Jr Dba Cameron Compa330 3Rd St SW, Cleveland, TN 37311-5923(423) 614-5962 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Neuromus… Does not accept assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Locations

175 Sequoia Rd NW
Cleveland, TN 37312
Phone (423) 614-5962

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1699921486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 3RD ST SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115923",
            "telephone_number": "423-614-5962",
            "fax_number": "423-479-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 3RD ST SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115923",
            "telephone_number": "423-614-5962",
            "fax_number": "423-479-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL B. CAMERON JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-614-5962",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cameron Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.