Active NPI
Mid America Medical Supply of Tennessee LP
- Durable Medical Equipment & Medical Supplies
- Parsons, TN
National Provider Identifier
1700869625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000409
- Legal business name
- MID AMERICA MEDICAL SUPPLY OF TENNESSEE LP
- Practice address
- 766 Tennessee Ave S
Parsons, TN 38363-4607 - Phone
- (731) 847-3150
- Fax
- (731) 847-3151
- NPI assigned
- Nov 23, 2005
- Last updated
- Aug 22, 2020
- 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. Bart Ashley
- Title
- Presiden, Metro Medical Supply, Inc
- Phone
- (615) 312-9880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000409 | TN | Primary |
Addresses
Primary practice location
766 Tennessee Ave S
Parsons, TN 38363-4607
Mailing address
200 Cumberland BND
Nashville, TN 37228-1804
Phone (615) 312-9880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3560150 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
200 Cumberland Bnd
Nashville, TN 37228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700869625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CUMBERLAND BND",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281804",
"telephone_number": "615-312-9880",
"fax_number": "615-320-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 TENNESSEE AVE S",
"city": "PARSONS",
"state": "TN",
"postal_code": "383634607",
"telephone_number": "731-847-3150",
"fax_number": "731-847-3151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID AMERICA MEDICAL SUPPLY OF TENNESSEE LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ASHLEY",
"authorized_official_first_name": "BART",
"authorized_official_title_or_position": "PRESIDEN, METRO MEDICAL SUPPLY, INC",
"authorized_official_telephone_number": "615-312-9880",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3560150",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parsons, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.