Active NPI
Pro Medical Corporation
- Durable Medical Equipment & Medical Supplies
- Gallatin, TN
National Provider Identifier
1811094857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRO MEDICAL CORPORATION
- Doing business as
- PRO MEDICAL
- Practice address
- 179 Hancock St
Ste 303
Gallatin, TN 37066-6346 - Phone
- (615) 230-3000
- Fax
- (615) 230-3029
- NPI assigned
- Sep 20, 2006
- 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
- Andrea L Lyons
- Title
- Sec
- Phone
- (615) 230-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
179 Hancock St
Ste 303
Gallatin, TN 37066-6346
Mailing address
PO Box 8118
Gallatin, TN 37066-8118
Phone (615) 230-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4441503 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 1455002 | Medicaid | TN |
Other names 1
- PRO MEDICAL
National Provider Directory
National Provider DirectoryLocations
179 Hancock St
Ste 303
Gallatin, TN 37066
Phone (615) 230-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1811094857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8118",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370668118",
"telephone_number": "615-230-3000",
"fax_number": "615-230-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 HANCOCK ST",
"address_2": "STE 303",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370666346",
"telephone_number": "615-230-3000",
"fax_number": "615-230-3029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "LYONS",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SEC",
"authorized_official_telephone_number": "615-230-3000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4441503",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1455002",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PRO MEDICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.