SOUTHERN ORTHOCARE INC – NPI #1790612323
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.

Health Care Provider Taxonomy Code for Prosthetic/Orthotic Supplier

SOUTHERN ORTHOCARE INC is a DME Supplier located in JOHNSON CITY, TN. NPPES recently assigned the NPI number 1790612323 to SOUTHERN ORTHOCARE INC on May 07, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN ORTHOCARE INC below.

NPI Profile for
SOUTHERN ORTHOCARE INC

NPI Number
1790612323
Enumeration Date

(about a month ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN ORTHOCARE INC
Primary location
403 PRINCETON RD STE 1
JOHNSON CITY, TN 37601-2040
Phone: (423) 430-9480 Fax: (423) 430-9480
Mailing address
Same as primary location
Organization Subpart
Yes - SOUTHERN ORTHOCARE INC is subpart of another organization.
Authorized Official
SHEENA WILLIAMS
CREDENTIALING MANAGER
Phone: (423) 307-1890
Updated
Certification Date
May 07, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.