Organization Active NPI

Hi-Tech Healthcare Inc.

  • Oxygen Equipment & Supplies (DME)
  • Fayetteville, GA
National Provider Identifier
1003826587
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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

Updated by the provider on Sep 27, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00428678DMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.