Active NPI
Priority Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Calhoun, GA
National Provider Identifier
1013149582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4582394 | Medicaid | TN | |
| 886233706A | Medicaid | GA |
National Provider Directory
National Provider DirectoryMember 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.