Prana Pulmonary Clinic PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PRANA PULMONARY CLINIC PLLC

Practice address

230 Bowman St Ste B
Morristown, TN 37813-3871

Phone

(423) 501-7241

Fax

(423) 501-7242

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Vijoydeep Tanjore Venkoba Rao, MDNPI 1790886109

Title

Authorized Official

Phone

(865) 310-2504

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijoydeep Tanjore Venkoba Rao, MD

  • Pulmonary Disease Physician
  • Newport, TN
  • NPI 1790886109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1730969122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 WELLINGTON BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141697",
            "telephone_number": "865-310-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BOWMAN ST STE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133871",
            "telephone_number": "423-501-7241",
            "fax_number": "423-501-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA PULMONARY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "TANJORE VENKOBA RAO",
        "authorized_official_first_name": "VIJOYDEEP",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "865-310-2504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Jones Popplewell, FNP-C
• Katey Gibson Porter, PA-C
• Anna Beth Portrum, PHARM D
• Laura A Powell, M.D.
• Margaret Ann Powers
• Precision Healthcare, Inc.
• Premier Support Services, Inc.
• Premier Wound Care of Tennessee, PC
• Premise Health of Tennessee Medical PC
• Premise Health of Tennessee Medical PC

• Pulmonary Disease Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.