MEDICARE: ABOVE & BEYOND MEDICAL CORPORATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1255205589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE & BEYOND MEDICAL CORPORATION, LLC

Provider Business Mailing Address
First Line	:	413 S NORTHSHORE DR STE B
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-7567
Country	:	US
Telephone Number	:	865-415-2740
Fax Number	:	865-415-2738

Provider Business Practice Location Address
First Line	:	1728 N EASTMAN RD STE 1
Second Line	:
City	:	KINGSPORT
State	:	TN
Zip	:	37664-2371
Country	:	US
Telephone Number	:	423-306-0011
Fax Number	:	423-551-6706

Authorized Official
Title or Position	:	CEO
Name	:	JAMES MICHAEL LOFTIS SR.
Credential	:
Telephone Number	:	843-609-5733

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	09/30/2025

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