Dezz, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

DEZZ, INC

Practice address

735 Kingsbay Rd
Saint Marys, GA 31558-3807

Phone

(912) 673-7777

Fax

(912) 673-1177

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Kim Kolgaklis

Title

Owner

Phone

(912) 673-7777

Specialties & licenses 2

Addresses

Other names 1

• New Horizons Medical Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1013564970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KINGSBAY RD",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583807",
            "telephone_number": "912-673-7777",
            "fax_number": "912-673-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 KINGSBAY RD",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583807",
            "telephone_number": "912-673-7777",
            "fax_number": "912-673-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEZZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "KOLGAKLIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-673-7777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole D Demick
• Anushka Adil Desai
• Judy Ann Deshea, OTR/L
• Mary Lou Devaul - Eshleman, D.O.
• Madison Raine Dewar
• Jimmy Diaz, MD
• Winston E Dill, JDPHDPSYDDNP
• Donald Scott Dills, LDO
• Daniel A. Dino, M.D.
• Dr. Victoria Warner-White

• Oxygen Equipment & Supplies (DME) in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.