Organization Active NPI

Alphamed, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
National Provider Identifier
1811054117
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALPHAMED, INC
Practice address
3021 Highway 45 Byp Ste 110
Jackson, TN 38305-0601
Phone
(731) 660-0060
Fax
(731) 660-0622
NPI assigned
Jan 3, 2007
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Mr. David Brian Scott, M.B.A.
Title
President
Phone
(731) 660-0060

Specialties & licenses 1

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

Addresses

Primary practice location

3021 Highway 45 Byp Ste 110
Jackson, TN 38305-0601

Mailing address

PO Box 10728
Jackson, TN 38308-0112
Phone (731) 660-0060

Other identifiers 2

IdentifierTypeStateIssuer
4145966OtherTNBLUE CROSS BLUE SHIELD
1455140MedicaidTN

National Provider Directory

National Provider Directory

Locations

935 Old Humboldt Rd
#A
Jackson, TN 38305
Phone (731) 660-0060

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1811054117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10728",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080112",
            "telephone_number": "731-660-0060",
            "fax_number": "731-660-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 HIGHWAY 45 BYP STE 110",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383050601",
            "telephone_number": "731-660-0060",
            "fax_number": "731-660-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHAMED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-660-0060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4145966",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455140",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.