CG Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CG MEDICAL, INC

Practice address

385 Connell Rd
Valdosta, GA 31602-1471

Phone

(229) 244-6788

Fax

(229) 244-9667

NPI assigned

Dec 9, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ed Cockman

Title

Co-Owner

Phone

(229) 244-6788

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• FAMILY HEALTH CARE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1003891383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CONNELL RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021471",
            "telephone_number": "229-244-6788",
            "fax_number": "229-244-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CONNELL RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021471",
            "telephone_number": "229-244-6788",
            "fax_number": "229-244-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "COCKMAN",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "229-244-6788"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "8939",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "8184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00734742B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00734742A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.