SOUTHERN MEDICAL SUPPLY (NPI# 1346306156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346306156 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MEDICAL SUPPLY |
| Practice Address |
1150 Perimeter Park Dr Suite A Cookeville TN 38501-0927 |
| Practice Telephone | 9313722109 |
| Practice Fax Number | 9313722118 |
| Mailing Telephone | 9313722109 |
| Mailing Fax Number | 9313722118 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CRYSTAL MARIE PUGH (OWNER) |
| Authorized Official Telephone | 9313722109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
TN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457697146 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 625 Kentucky 980, Scottsville, KY 42164 | 2012-12-27 |
| 1114014347 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 91 Crye Leike Dr, Fort Oglethorpe, GA 30742-4055 | 2006-10-09 |
| Street Address |
1150 PERIMETER PARK DR SUITE A |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-0927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649658030 | Bianca Burnett | Nurse Practitioner | 1150 Perimeter Park Dr, Ste B, Cookeville, TN 38501-0927 | 2015-05-18 |
| 1417299223 | Top Flight Medical Group | Specialist | 1150 Perimeter Park Dr, Cookeville, TN 38501-0927 | 2013-03-19 |
| 1538390653 | Sleep Unlimited Cookeville | Clinic/Center | 1150 Perimeter Park Dr, Suite D, Cookeville, TN 38501-0927 | 2009-08-06 |
| 1013055268 | Respiratory Home Care | Durable Medical Equipment & Medical Supplies | 1150 Perimeter Park Dr, Suite A, Cookeville, TN 38501-0927 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295071314 | Univita of Tennessee, Inc. | Durable Medical Equipment & Medical Supplies | 1572 S Maple Ave, Suite A, Cookeville, TN 38506-2605 | 2012-12-18 |
| 1073652376 | Pharmacist Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 226 N Oak Ave, Cookeville, TN 38501-2438 | 2007-02-05 |
| 1316051121 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1459 Interstate Dr, Ste B., Cookeville, TN 38501-4608 | 2006-08-18 |
| 1346236239 | Larco Medical Inc | Durable Medical Equipment & Medical Supplies | 405 N Willow Ave, Cookeville, TN 38501-2338 | 2005-09-26 |
| 1083070957 | Just Breathe Oxygen & Medical Equipment | Durable Medical Equipment & Medical Supplies | 802 E 10th St, Cookeville, TN 38501-1911 | 2016-01-07 |
| 1013055268 | Respiratory Home Care | Durable Medical Equipment & Medical Supplies | 1150 Perimeter Park Dr, Suite A, Cookeville, TN 38501-0927 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962581 | Home Medical Products, Inc | Durable Medical Equipment & Medical Supplies | 1508 Carl Adams Dr Ste 101, Murfreesboro, TN 37129-4375 | 2020-08-12 |
| 1821629031 | Buckeye Home Health Center, Inc. | Durable Medical Equipment & Medical Supplies | 689 Medical Park Dr Ste 202, Lenoir City, TN 37772-5797 | 2020-01-28 |
| 1558911396 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 105 W Stone Dr Ste 1c, Kingsport, TN 37660-3365 | 2019-09-13 |
| 1801449335 | Carla Marie Walton | Durable Medical Equipment & Medical Supplies | 4747 Harvest Knoll Ln, Memphis, TN 38125-4714 | 2019-07-23 |
| 1649830142 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 6234 Perimeter Dr Ste A104, Chattanooga, TN 37421-3664 | 2019-06-17 |
| 1720645203 | Buckeye Home Health Center, Inc. | Durable Medical Equipment & Medical Supplies | 3332 Peavine Rd, Crossville, TN 38571-7905 | 2019-05-21 |
| 1659934230 | Riverside Medical Inc | Durable Medical Equipment & Medical Supplies | 105 Lee Parkway Dr Ste C, Chattanooga, TN 37421-6708 | 2019-04-18 |
| 1174084628 | Hch Medical LLC | Durable Medical Equipment & Medical Supplies | 373 Asbury Ave, Ripley, TN 38063-4576 | 2019-03-27 |
| 1821544057 | Dunlop Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 620 Dunlop Ln, Suite 112, Clarksville, TN 37040-5000 | 2016-08-28 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on SOUTHERN MEDICAL SUPPLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.