SOUTHERN ORTHOCARE, INC (NPI# 1922535111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922535111 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ORTHOCARE, INC |
| Practice Address |
740 Tell St Ste 300 Athens TN 37303-5170 |
| Mailing Address |
2102 E Andrew Johnson Hwy Morristown TN 37814-5412 |
| Practice Telephone | 4232520149 |
| Practice Fax Number | 4234535354 |
| Mailing Telephone | 4233071890 |
| Mailing Fax Number | 4233071891 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-06-07 |
| Authorized Official Name | JOSEPH HUNTSMAN (CEO/OWNER) |
| Authorized Official Telephone | 4233071890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 0000000936 | TN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| Street Address |
740 TELL ST STE 300 |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176517 | Hal Medical O&p, PC | Prosthetic/Orthotic Supplier | 22923 Us Highway 72 Ste A, Athens, AL 35613-7618 | 2015-06-18 |
| 1316325657 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 1135 Prince Ave, Athens, GA 30606-2729 | 2015-05-07 |
| 1427448158 | Shamrock Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 825 King Ave, Athens, GA 30606-2877 | 2015-02-03 |
| 1053315622 | Fritz Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 700 Oglethorpe Ave, Ste B2, Athens, GA 30606-2221 | 2005-06-10 |
| 1265775258 | John P. Gale Dmd, PC | Prosthetic/Orthotic Supplier | 3380 Old Jefferson Rd, Athens, GA 30607-1480 | 2013-03-28 |
| 1225366867 | Tracy D. Adams Et Al Ptr | Prosthetic/Orthotic Supplier | 910 W Hobbs St, Athens, AL 35611-1412 | 2009-11-19 |
| 1275691412 | Ohio State Optical Co | Prosthetic/Orthotic Supplier | 444 W Union St, Athens, OH 45701-2340 | 2006-12-04 |
| 1710941232 | Augusta Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1000 Hawthorne Ave, Suite I, Athens, GA 30606-2168 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100990 | Porsche Vaughn | Prosthetic/Orthotic Supplier | 2203 Clarksville Pike, Nashville, TN 37208-1053 | 2020-09-24 |
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1134737562 | Carefluent Connect, LLC | Prosthetic/Orthotic Supplier | 60 Athlete's Way N, Suite 300, Mt Juliet, TN 37122-4440 | 2020-07-22 |
| 1609484450 | Crowned By Court Rx | Prosthetic/Orthotic Supplier | 6339 Charlotte Pike # 928, Nashville, TN 37209-2926 | 2020-07-17 |
| 1558982868 | Kcb Medical Wigs | Prosthetic/Orthotic Supplier | 4246 Hillgate Cv, Memphis, TN 38118-6739 | 2020-04-28 |
| 1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| 1366901779 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 6029 Walnut Grove Rd Ste 109, Memphis, TN 38120-2112 | 2019-03-15 |
| 1043775745 | Restorative Health Services, Inc | Prosthetic/Orthotic Supplier | 103 N Willow Ave, Cookeville, TN 38501-2369 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHERN ORTHOCARE, INC.
| 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.