Organization Active NPI

Altamaha DME, Inc

Doing business as Coastal Medical Equipment & Uniforms

  • Oxygen Equipment & Supplies (DME)
  • Jesup, GA
National Provider Identifier
1013990134
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
000001538 Issued in GA
Legal business name
ALTAMAHA DME, INC
Doing business as
Coastal Medical Equipment & Uniforms
Jones Medical Equipment
Practice address
138 S Macon St
Jesup, GA 31545-1116
Phone
(912) 427-6600
Fax
(912) 427-8003
NPI assigned
Nov 22, 2005
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Mrs. Terri L Brake
Title
President
Phone
(912) 427-6600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 000001538 GA
Oxygen Equipment & Supplies (DME) 332BX2000X 000001538 GA Primary

Addresses

Primary practice location

138 S Macon St
Jesup, GA 31545-1116

Mailing address

138 S Macon St
Jesup, GA 31545-1116
Phone (912) 427-6600

Other identifiers 1

IdentifierTypeStateIssuer
000577167AMedicaidGA

Other names 2

  • Coastal Medical Equipment & Uniforms Doing business as
  • Jones Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930039712 GA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 3072631852 Practice locations: Jesup, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Altamaha DME Inc138 S. Macon Street, Jesup, GA 31545-1116(912) 427-6600 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Ma… Does not accept assignmentParticipating since Jan 1, 2017

National Provider Directory

National Provider Directory
Tax ID family
Altamaha DME Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

138 S Macon St
Jesup, GA 31545

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1013990134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S MACON ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451116",
            "telephone_number": "912-427-6600",
            "fax_number": "912-427-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S MACON ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451116",
            "telephone_number": "912-427-6600",
            "fax_number": "912-427-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMAHA DME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-427-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "000001538",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "000001538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000577167A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical Equipment & Uniforms",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jones Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.