Active NPI
Ammed Direct LLC
- Durable Medical Equipment & Medical Supplies
- Antioch, TN
National Provider Identifier
1881665180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000705
- Legal business name
- AMMED DIRECT LLC
- Practice address
- 5720 Crossings Blvd Ste a
Antioch, TN 37013-3144 - Phone
- (615) 941-3500
- Fax
- (615) 941-3822
- NPI assigned
- Jan 27, 2006
- Last updated
- Jan 27, 2011
- 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
- Mr. Dennis Berry
- Title
- Ceo
- Phone
- (615) 941-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000705 | TN | Primary |
Addresses
Primary practice location
5720 Crossings Blvd Ste a
Antioch, TN 37013-3144
Mailing address
5720 Crossings Blvd Ste a
Antioch, TN 37013-3144
Phone (615) 941-3500
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253505018A | Medicaid | GA | |
| 1139181 | Medicaid | LA | |
| 1454373 | Medicaid | TN | |
| 6203062000 | Medicaid | WV | |
| 626101703 | Medicaid | MO | |
| 00914325 | Medicaid | AL | |
| 06972708 | Medicaid | MS | |
| 200036550A | Medicaid | OK | |
| 009120122 | Medicaid | VA | |
| 1000023876 | Medicaid | DE | |
| 1617870-1 | Medicaid | TX | |
| 4568254 | Medicaid | MI | |
| 480038 | Medicaid | AZ | |
| 98183532 | Medicaid | CO | |
| 148472716 | Medicaid | AR | |
| 2440228 | Medicaid | OH | |
| 82263800 | Medicaid | WI | |
| 90007964 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
5720 Crossings Blvd
Ste A
Antioch, TN 37013
Phone (615) 941-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296086400000",
"number": "1881665180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 CROSSINGS BLVD STE A",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370133144",
"telephone_number": "615-941-3500",
"fax_number": "615-941-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 CROSSINGS BLVD STE A",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370133144",
"telephone_number": "615-941-3500",
"fax_number": "615-941-3822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMMED DIRECT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-27",
"last_updated": "2011-01-27",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-941-3500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253505018A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1139181",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454373",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6203062000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "626101703",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00914325",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06972708",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200036550A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009120122",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000023876",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1617870-1",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4568254",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "480038",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98183532",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148472716",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2440228",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82263800",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90007964",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Antioch, TN
- Letericus Santrice Alston
- Maame Amankwah, DNP/APRN-BC
- Bri Amann, CD
- American Health Imaging S, LLC (American Health Associates)
- Ammed Direct LLC (Ammed Homecare Pharmacy)
- Ammed Direct, LLC (AmMed HomeCare Pharmacy)
- Anba Abraam Medical Clinic
- Andre L Anderson, BCBA
- Marie C Anderson
- Emily Anthony Andry, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.