Organization Active NPI

Mid America Medical Supply of Tennessee LP

  • Durable Medical Equipment & Medical Supplies
  • Parsons, TN
National Provider Identifier
1700869625
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000409 Issued in TN
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3560150MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.