Organization Active NPI

Superior Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
National Provider Identifier
1831192152
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000615 Issued in TN
Legal business name
SUPERIOR MEDICAL SUPPLY, INC
Practice address
6025 Lee Hwy Ste 320
Chattanooga, TN 37421-2956
Phone
(855) 230-5632
Fax
(931) 551-8435
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Sue Ellen Kay
Title
Sr Vice President
Phone
(770) 316-3685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000615 TN Primary

Addresses

Primary practice location

6025 Lee Hwy Ste 320
Chattanooga, TN 37421-2956

Mailing address

PO Box 922576
Norcross, GA 30010-2576
Phone (866) 449-4784

Other identifiers 13

IdentifierTypeStateIssuer
01071796OtherTNAMERIGROUP COMMUNITY CARE
50002684OtherKYPASSPORT HEALTH
1452422MedicaidTN
1987144OtherCOVENTRY HEALTHCARE
128747OtherTNFIRST HEALTH
S073099OtherIHP
1045278OtherTNSTERLING LIFE INSURANCE
123150OtherTNUNISON ADVANTAGE
233009OtherANTHEM
3044OtherTNCARECENTRIX
3123555OtherTNBLUECROSS BLUESHIELD TN
90274275MedicaidKY
2444181000OtherKYPASSPORT ADVANTAGE

Other names 1

  • Neb Doctors of TN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053991 TN DME Supplier - Medical Supply Company 9133240773 Practice locations: Chattanooga, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Superior Medical Supply Inc6025 Lee Hwy, Chattanooga, TN 37421-2956(866) 449-4784 Ultraviolet Light Devices and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 14, 1999

National Provider Directory

National Provider Directory

Locations

6025 Lee Hwy
Ste 431
Chattanooga, TN 37421
Phone (855) 230-5632

6025 Lee Hwy
Ste 320
Chattanooga, TN 37421
Phone (855) 230-5632

1160 Gallatin Pike S
Ste 109
Madison, TN 37115
Phone (615) 865-3239

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1831192152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922576",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300102576",
            "telephone_number": "866-449-4784",
            "fax_number": "888-835-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LEE HWY STE 320",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212956",
            "telephone_number": "855-230-5632",
            "fax_number": "931-551-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "770-316-3685"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP COMMUNITY CARE",
            "identifier": "01071796",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "50002684",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452422",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "1987144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "128747",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHP",
            "identifier": "S073099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING LIFE INSURANCE",
            "identifier": "1045278",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON ADVANTAGE",
            "identifier": "123150",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "233009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARECENTRIX",
            "identifier": "3044",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TN",
            "identifier": "3123555",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90274275",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2444181000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neb Doctors of TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.