ANDERSON BRACE & LIMB PLLC (NPI# 1306340476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306340476 |
| Entity Type | Organization |
| Organization Name | ANDERSON BRACE & LIMB PLLC |
| Practice Address |
569 Skyline Dr Ste 201 Jackson TN 38301-3933 |
| Mailing Address |
300 E Parkview St Dyersburg TN 38024-3110 |
| Practice Telephone | 7313003698 |
| Practice Fax Number | 7313000742 |
| Mailing Telephone | 7312866006 |
| Mailing Fax Number | 7312865570 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Authorized Official Name | MARK WESLEY ANDERSON (OWNER) |
| Authorized Official Telephone | 7312866006 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 87 | TN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871765883 | Anderson Brace & Limb Pllc | Prosthetic/Orthotic Supplier | 300 E Parkview St, Dyersburg, TN 38024-3110 | 2008-03-31 |
| Street Address |
569 SKYLINE DR STE 201 |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| 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 |
|---|---|---|---|---|
| 1962010645 | The Royal Studio | Prosthetic/Orthotic Supplier | 246 Briarwood Dr Ste 102, Jackson, MS 39206-3027 | 2020-07-17 |
| 1366064263 | Lavishinglux Hair Imports | Prosthetic/Orthotic Supplier | 200 Belle Chasse Cir, Jackson, MS 39212-3164 | 2020-05-13 |
| 1013563527 | State of Mississippi - University of Mississippi Medical Center | Prosthetic/Orthotic Supplier | 1410 E Woodrow Wilson Ave Ste I, Jackson, MS 39216-5114 | 2019-08-12 |
| 1134404932 | Human Technology, Inc. | Prosthetic/Orthotic Supplier | 2813 N. Highland Avenue, Jackson, TN 38305 | 2011-10-13 |
| 1225196801 | Biomedical Designs Inc. | Prosthetic/Orthotic Supplier | 306 W Washington Ave Ste 105, Jackson, MI 49201-2141 | 2006-12-05 |
| 1992870950 | Jackson Brace and Limb Company | Prosthetic/Orthotic Supplier | 1320 N State St, Jackson, MS 39202-2003 | 2006-11-22 |
| 1184718132 | Mid State Artificial Limb Co, Inc | Prosthetic/Orthotic Supplier | 4455 Medgar Evers Blvd, Jackson, MS 39213-5202 | 2006-10-03 |
| 1134147036 | Joy's Return | Prosthetic/Orthotic Supplier | 10350 Spunn Rd, Jackson, CA 95642-9509 | 2006-07-18 |
| 1083631931 | Orthotic Prosthetic Associates, Inc. | Prosthetic/Orthotic Supplier | 2105 West County Line Road, Suite 9, Jackson, NJ 08527 | 2006-07-16 |
| 1932138047 | Wilson Brace and Limb Company Inc | Prosthetic/Orthotic Supplier | 500j E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2006-07-01 |
| Find all providers in JACKSON | ||||
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| 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.