OrganizationActive
Southern Orthocare Inc
NPI 1790612323 · Prosthetic/Orthotic Supplier · Johnson City, TN
Southern Orthocare Inc is a Prosthetic/Orthotic Supplier organization in Johnson City, TN (NPI 1790612323).
Provider details
- NPI number
- 1790612323
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Southern Orthocare Inc
- Organization subpart
- Yes
- Authorized official
- Sheena Williams, Credentialing Manager(423) 307-1890
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
403 Princeton Rd Ste 1
Johnson City, TN 37601-2040
Phone: (423) 430-9480
Fax: (423) 430-9480
Street-level locationGet directions
Mailing address
403 Princeton Rd Ste 1
Johnson City, TN 37601-2040
Registry dates
- Enumerated
- 2026-05-07
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Frequently asked questions
- What is Southern Orthocare Inc's NPI number?
- Southern Orthocare Inc's National Provider Identifier (NPI) is 1790612323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Orthocare Inc?
- Southern Orthocare Inc is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Southern Orthocare Inc located?
- Southern Orthocare Inc's practice location on file with NPPES is 403 Princeton Rd Ste 1, Johnson City, TN 37601-2040.
- What is Southern Orthocare Inc's phone number?
- The practice phone number listed in the NPPES registry for Southern Orthocare Inc is (423) 430-9480.
- Who is the authorized official for Southern Orthocare Inc?
- The authorized official listed on Southern Orthocare Inc's NPPES record is Sheena Williams, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Orthocare Inc's NPI active?
- Yes — Southern Orthocare Inc's NPI (1790612323) is active in the NPPES registry as of the last update on 2026-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.