Organization Active NPI

Pro Medical Corporation

  • Durable Medical Equipment & Medical Supplies
  • Gallatin, TN
National Provider Identifier
1811094857
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 28, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4441503OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1455002MedicaidTN

Other names 1

  • PRO MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.