Peacock Medical Equipment And Home Health Care Llc, NPI 1144456047
Durable Medical Equipment & Medical Supplies in Elizabethton, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1144456047
NPI Entity Type Organization
Provider Name Peacock Medical Equipment And Home Health Care Llc
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN, US
Provider Mailing Address 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN, US, 37643
Is Sole Proprietor? No
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Organization Official

Official Name DR. PH.D Adam Douglas Wellington
Official Position CEO/PRESIDENT
Phone 423-547-3224

Primary Taxonomy

Taxonomy Code

332B00000X

Taxonomy Name Durable Medical Equipment & Medical Supplies
Classification

Durable Medical Equipment & Medical Supplies

Group

Suppliers

Description A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Other Organization Name

Peachtree Medical of Tennessee
Former Legal Business Name

Business Address

Peacock Medical Equipment And Home Health Care Llc
1201 Highway 19 E Bypass Suite 3

Elizabethton, TN, US

Phone: 423-547-3224
Fax: 180-041-9156

Mailing Address

Peacock Medical Equipment And Home Health Care Llc
1201 Highway 19 E Bypass Suite 3
Elizabethton, TN, US
ZIP 37643
Phone: 423-547-3224
Fax: 180-041-9156

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

251E00000X

Agencies

Home Health

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
DM1334 SC MEDICAID 05
0000001020 TN TN BOARD FOR LICENSING HEALTHCARE FACILITIES DEPT OF HEALTH 01
1514122 TN MEDICAID 05
1144456047 VA MEDICAID 05

Other Providers in TN, US

NPI Name Taxonomy Address

1417615469

MRS. RN Emily Rae Johnson

Individual

Critical Care Medicine Registered Nurse

315 Hospital Dr

Madison, TN

1144944927

PHARMD Rebecca Brittany Clegg

Individual

Pharmacist

1430 S Roan St

Johnson City, TN

1538605498

Christopher Byrd

Individual

Pharmacist

4221 Maynardville Hwy

Maynardville, TN

1154882843

MD Shalacia Palmer Leblanc

Individual

Family Medicine Physician

3400 Lebanon Rd

Murfreesboro, TN

1306575014

DR. DNP, CRNA Mark Timothy Cresap

Individual

Certified Registered Nurse Anesthetist

7357 Lucky Clover Ln

Knoxville, TN

1366099269

Khumalo Foot And Ankle Clinic, Inc

Organization

Foot & Ankle Surgery Podiatrist

1109 E Reelfoot Ave Ste D

Union City, TN

1154053643

CCC-SLP Azjah Watson

Individual

Speech-Language Pathologist

70 Timber Creek Dr

Cordova, TN

1841915113

MS. DNP Ala'a Mitoubsi

Individual

Nurse Practitioner

1926 Alcoa Hwy

Knoxville, TN

1215652680

NEMT Olivia Williams

Individual

Non-emergency Medical Transport (VAN)

8097 Waterford Cir Apt 204

Memphis, TN

1306561774

Megan Nichole Trujillo

Individual

Behavior Technician

2740 Saint Andrews Dr

Murfreesboro, TN

1598727380

M.D. David D. Buckman

Individual

Family Medicine Physician

2320 Wilma Rudolph Blvd.

Clarksville, TN

1437874807

Ashley Myers

Individual

Registered Nurse

1211 Medical Center Dr

Nashville, TN

1477278844

Jessica Gomez

Individual

Behavior Technician

1727 N Germantown Pkwy Ste 107

Cordova, TN

1881736122

Park Center

Organization

Adult Mental Health Clinic/Center

1935 21st Ave S

Nashville, TN

1174056428

DR. M.D. Melissa Lynn Mckittrick

Individual

Pain Medicine (Anesthesiology) Physician

3400 Lebanon Rd

Murfreesboro, TN

1083339444

FNP-BC Misty Renee Nichols

Individual

Family Nurse Practitioner

2216 Rainbow Ln

New Market, TN

1376569210

MD Douglas Todd Cannon

Individual

Physical Medicine & Rehabilitation Physician

8000 Centerview Pkwy

Suite 500

Cordova, TN

1386369734

Dovamed Medical

Organization

Durable Medical Equipment & Medical Supplies

545 Mainstream Dr Ste 102

Nashville, TN

1487379830

Taylor Woods

Individual

Registered Nurse

6019 Walnut Grove Rd

Memphis, TN

1285909903

MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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