NPIMap

Organization Active NPI

Terry Graybeal

  • Customized Equipment (DME)
  • Greeneville, TN
National Provider Identifier
1992988463
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
0460275 Issued in TN
Legal business name
TERRY GRAYBEAL
Practice address
504 Justis Dr
Greeneville, TN 37745-4287
Phone
(423) 638-2670
Fax
(423) 638-6592
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Terry Graybeal
Title
Owner
Phone
(423) 638-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 0460275 TN Primary

Addresses

Primary practice location

504 Justis Dr
Greeneville, TN 37745-4287

Mailing address

504 Justis Dr
Greeneville, TN 37745-4287
Phone (423) 638-2670

Other identifiers 2

IdentifierTypeStateIssuer
3546804MedicaidTN
48336OtherTNBCBS

Other names 1

  • Greeneville Orthotics & Prosthetics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1992988463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 JUSTIS DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454287",
            "telephone_number": "423-638-2670",
            "fax_number": "423-638-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 JUSTIS DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454287",
            "telephone_number": "423-638-2670",
            "fax_number": "423-638-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY GRAYBEAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "GRAYBEAL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-638-2670"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "0460275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3546804",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48336",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greeneville Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.