Graybeal Orthopedic Llc

Prosthetic/orthotic Supplier



  
  430 W Ravine Rd Ste 100b, Kingsport
Tennessee, 37660-3868

 423-863-4191    844-419-1119
Graybeal Orthopedic Llc is a Prosthetic/orthotic Supplier in Kingsport, Tennessee. This organization is also known as sub part of Graybeal Orthopedic Llc. It is located at 430 W Ravine Rd Ste 100b, Kingsport and it's customer support contact number is 423-863-4191. The authorized person of Graybeal Orthopedic Llc is Adam Lee Fann, CPO who is Owner of this DME and his contact number is 423-975-9884. Graybeal Orthopedic Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Graybeal Orthopedic Llc is 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.


DME Supplier Details:
Graybeal Orthopedic Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Graybeal Orthopedic Llc
Type: Prosthetic/orthotic Supplier
Location:430 W Ravine Rd Ste 100b, Kingsport,
Tennessee, 37660-3868
Phone:423-863-4191
Fax:844-419-1119
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Adam Lee Fann
Credentials: CPO
Position: Owner
Contact Number: 423-975-9884
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1740951714
Parent Organization: Graybeal Orthopedic Llc
NPI Enumeration Date: 21 Sep, 2021
NPI Last Update On: 17 Mar, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Graybeal Orthopedic Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Prosthetic/orthotic Supplier Primary
Durable Medical Equipment & Medical Supplies Secondary
Customized Equipment Secondary
Medicare Enrollment:
Graybeal Orthopedic Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
2163542234O20211118000771Graybeal Orthopedic LlcDME SUPPLIER - PROSTHETIC PERSONNEL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 107 E Myrtle Ave,
Johnson City, Tennessee
Zip: 37601-4631
Phone Number: 423-975-9884
Patients can reach Graybeal Orthopedic Llc at 430 W Ravine Rd Ste 100b, Kingsport, Tennessee or can call on customer care at 423-863-4191.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.