Active NPI
Genesis Enterprises, Inc.
Doing business as Genesis Medical
- Durable Medical Equipment & Medical Supplies
- Oakland, TN
National Provider Identifier
1720060924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000465
- Legal business name
- GENESIS ENTERPRISES, INC.
- Doing business as
- Genesis Medical
- Practice address
- 7058 Highway 64
Oakland, TN 38060-3208 - Phone
- (901) 466-0441
- Fax
- (901) 466-0447
- NPI assigned
- Nov 15, 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. Michael T Smith
- Title
- President
- Phone
- (901) 466-0441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000465 | TN | Primary |
Addresses
Primary practice location
7058 Highway 64
Oakland, TN 38060-3208
Mailing address
PO Box 387
7058 Highway 64
Oakland, TN 38060-0387
Phone (901) 466-0441
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7102000TN38060 | Other | MI | BLUE CROSS MICHIGAN |
| A0000 | Other | FL | BLUE CROSS FL |
| GENESIS | Other | MO | GEHA |
| 0005802578 | Other | TN | AETNA |
| 00440484 | Medicaid | MS | |
| GENESIS ENTERP | Other | AR | BLUE CROSS AR |
| 000000114193 | Other | TN | TENNCARE BETTER HEALTH |
| 2678011 | Other | TN | AETNA LIFE INSURANCE |
| GENESIS ENTERPRISES | Other | IN | CONSECO HEALTH |
| 3113340 | Other | TN | BLUE CROSS BLUE SHIELD |
| GENESIS ENTERPRISES | Other | TN | BC BS BLUE |
| GENESIS | Other | TN | UNITED HEALTHCARE AARP |
| 1452445 | Medicaid | TN | |
| V2336 | Other | VA | HOMELINK |
Other names 1
- Genesis Medical
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Enterprises Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Oakland, TN
- NPI 1457422438
Locations
7058 Highway 64
Oakland, TN 38060
Phone (901) 466-0441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720060924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 387",
"address_2": "7058 HIGHWAY 64",
"city": "OAKLAND",
"state": "TN",
"postal_code": "380600387",
"telephone_number": "901-466-0441",
"fax_number": "901-466-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7058 HIGHWAY 64",
"city": "OAKLAND",
"state": "TN",
"postal_code": "380603208",
"telephone_number": "901-466-0441",
"fax_number": "901-466-0447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-466-0441",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MICHIGAN",
"identifier": "7102000TN38060",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FL",
"identifier": "A0000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEHA",
"identifier": "GENESIS",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005802578",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440484",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AR",
"identifier": "GENESIS ENTERP",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE BETTER HEALTH",
"identifier": "000000114193",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE INSURANCE",
"identifier": "2678011",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSECO HEALTH",
"identifier": "GENESIS ENTERPRISES",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3113340",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS BLUE",
"identifier": "GENESIS ENTERPRISES",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE AARP",
"identifier": "GENESIS",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1452445",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMELINK",
"identifier": "V2336",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Genesis Medical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oakland, 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.