Organization Active NPI

Priority Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Calhoun, GA
National Provider Identifier
1013149582
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIORITY MEDICAL, LLC
Practice address
664 Red Bud Rd NE
Calhoun, GA 30701-1963
Phone
(706) 624-1560
Fax
(706) 624-1595
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Heather Mace
Title
Director of Business Systems
Phone
(804) 240-1229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

664 Red Bud Rd NE
Calhoun, GA 30701-1963

Mailing address

2310 US Highway 84 W
Valdosta, GA 31601-5189
Phone (229) 262-8236

Other identifiers 2

IdentifierTypeStateIssuer
4582394MedicaidTN
886233706AMedicaidGA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1093 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 624-1560

664 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 624-1560

2014 Redmond Cir NW
Rome, GA 30165

2310 US Highway 84 W
Valdosta, GA 31601
Phone (229) 262-8236

7851 Hickory Flat Hwy
Ste 100
Woodstock, GA 30188

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1013149582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 US HIGHWAY 84 W",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015189",
            "telephone_number": "229-262-8236",
            "fax_number": "229-244-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011963",
            "telephone_number": "706-624-1560",
            "fax_number": "706-624-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SYSTEMS",
        "authorized_official_telephone_number": "804-240-1229"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582394",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886233706A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.