Active NPI
Hi-Tech Healthcare Inc.
- Oxygen Equipment & Supplies (DME)
- Fayetteville, GA
National Provider Identifier
1003826587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- HI-TECH HEALTHCARE INC.
- Practice address
- 1233 Highway 54 W
Suite 1
Fayetteville, GA 30214-4542 - Phone
- (770) 460-7744
- Fax
- (770) 460-7864
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Todd Tyson, BS,RRT
- Title
- President
- Phone
- (770) 449-6785
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary | ||
| Pharmacy | 333600000X |
Addresses
Primary practice location
1233 Highway 54 W
Suite 1
Fayetteville, GA 30214-4542
Mailing address
1805 Shackleford CT
Suite 100
Norcross, GA 30093-2924
Phone (770) 449-6785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00428678D | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1003826587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 SHACKLEFORD CT",
"address_2": "SUITE 100",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932924",
"telephone_number": "770-449-6785",
"fax_number": "770-449-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 HIGHWAY 54 W",
"address_2": "SUITE 1",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144542",
"telephone_number": "770-460-7744",
"fax_number": "770-460-7864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HI-TECH HEALTHCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "TYSON",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-449-6785",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS,RRT"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00428678D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.