Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prodigal Primary Care PC

Organization Durable Medical Equipment & Medical Supplies · NPI 1881033959

Prodigal Primary Care PC is a Durable Medical Equipment & Medical Supplies in Maynardville, Tennessee. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

598 John Deere Dr
Maynardville, TN 37807-3212
Phone: (865) 288-3754
Fax: (865) 745-1873
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1881033959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Brickhouse — Pa · (865) 288-3754
NPI enumeratedJune 21, 2013
Last updated in NPPESNovember 1, 2013
Mailing address2911 Essary Dr, Knoxville, TN 37918-2468

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