Cancer Outreach Associates of Tennessee, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

28068 Issued in TN

Legal business name

CANCER OUTREACH ASSOCIATES OF TENNESSEE, P.C.

Practice address

1 Professional Park Dr
MCPP #1, Suite 18
Johnson City, TN 37604-6587

Phone

(423) 926-0063

Fax

(423) 926-0073

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Forrest Swan Jr., M.D.

Title

President

Phone

(276) 676-1860

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann Cash, NP

  • Nurse Practitioner
  • Johnson City, TN
  • NPI 1619039948
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962473405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ABINGDON PL",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242115197",
            "telephone_number": "276-676-1860",
            "fax_number": "276-628-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL PARK DR",
            "address_2": "MCPP #1, SUITE 18",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046587",
            "telephone_number": "423-926-0063",
            "fax_number": "423-926-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER OUTREACH ASSOCIATES OF TENNESSEE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-676-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "28068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifier Christine-Bayne Campbell, LMSW
• Lauren Hope Campbell, DPT
• Linda Campbell, RBT
• Makensey Campbell, DDS
• Nelea Dotson Campbell, MSN, APRN, FNP-C
• Benjamin Chad Cannon, CPRS
• Cathlyn Carole Cannon, L.P.C. MHSP
• Elizabeth Forgey Cannon, DDS
• Jennifer Leigh Cannon, FNP
• Brittany M Cantrell, P.A.

• Specialist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.