Healthcare Provider Details
I. General information
NPI: 1255205589
Provider Name (Legal Business Name): ABOVE & BEYOND MEDICAL CORPORATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2025
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1728 N EASTMAN RD STE 1
KINGSPORT TN
37664-2371
US
IV. Provider business mailing address
413 S NORTHSHORE DR STE B
KNOXVILLE TN
37919-7567
US
V. Phone/Fax
- Phone: 423-306-0011
- Fax: 423-551-6706
- Phone: 865-415-2740
- Fax: 865-415-2738
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JAMES
MICHAEL
LOFTIS
SR.
Title or Position: CEO
Credential:
Phone: 843-609-5733