Active NPI
Altamaha DME, Inc
Doing business as Coastal Medical Equipment & Uniforms
- Oxygen Equipment & Supplies (DME)
- Jesup, GA
National Provider Identifier
1013990134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 000001538
- 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, 2026
- 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
- Mrs. Terri L Brake
- Title
- President
- Phone
- (912) 427-6600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000577167A | Medicaid | GA |
Other names 2
- Coastal Medical Equipment & Uniforms
- Jones Medical Equipment
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930039712 | GA | DME Supplier - Medical Supply Company With Respiratory Therapist | 3072631852 | Practice locations: Jesup, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Altamaha DME Inc | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Altamaha DME Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba jones medical equipment
- Durable Medical Equipment & Medical Supplies
- Jesup, GA
- NPI 1699849836
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
- Advanced Health Care Center
- Advanced Medical Resources of Wayne County, LLC
- Isaac Ahn
- Air Evac EMS Inc (Air Evac Lifeteam)
- Altamaha DME (jones medical equipment)
- Altamaha Nursing LLC (Altamaha Health Care)
- Altamaha Nursing LLC
- Altamaha Primary Care, LLC
- Am SNF LLC (Altamaha Healthcare Center)
- Thomas Michael Amburgey, M.D.
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.