NPIMap

Organization Active NPI

Byram Healthcare Centers, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kennesaw, GA
National Provider Identifier
1023063641
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BYRAM HEALTHCARE CENTERS, INC.
Practice address
1925 Vaughn Rd NW
Suite 115
Kennesaw, GA 30144-4560
Phone
(770) 422-5516
Fax
(770) 590-8563
NPI assigned
May 23, 2006
Organization subpart
Yes
Parent organization
BYRAM HOLDINGS I, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Mr. Perry A Bernocchi
Title
Ceo & President
Phone
(732) 302-1600

Specialties & licenses 1

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

Addresses

Primary practice location

1925 Vaughn Rd NW
Suite 115
Kennesaw, GA 30144-4560

Mailing address

1925 Vaughn Rd NW
Suite 115
Kennesaw, GA 30144-4560
Phone (770) 422-5516

Other identifiers 2

IdentifierTypeStateIssuer
00761791AMedicaidGA
1508579MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930088554 GA DME Supplier - Medical Supply Company 1557488897 Practice locations: Kennesaw, GA

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

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
Byram Healthcare Centers Inc1925 Vaughn Rd NW, Kennesaw, GA 30144-4566(770) 422-5516 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Orthoses: Off-The-Shelf|Penile Pumps|Ostomy Supp… Accepts assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory
Tax ID family
Byram Healthcare Ctr in23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

135 Gemini Cir
Ste 218
Birmingham, AL 35209
Phone (205) 945-7582

1111 W Evans Ave
Unit A
Denver, CO 80223
Phone (303) 762-1263

4900 Creekside Dr
Ste M
Clearwater, FL 33760
Phone (727) 540-0221

1925 Vaughn Rd NW
Ste 115
Kennesaw, GA 30144
Phone (770) 422-5516

120 Bloomingdale Rd
White Plains, NY 10605

3793 S State St
South Salt Lake, UT 84115
Phone (801) 268-9699

19820 North Creek Pkwy
Ste 100
Bothell, WA 98011
Phone (800) 394-5685

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1023063641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 VAUGHN RD NW",
            "address_2": "SUITE 115",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444560",
            "telephone_number": "770-422-5516",
            "fax_number": "770-590-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 VAUGHN RD NW",
            "address_2": "SUITE 115",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444560",
            "telephone_number": "770-422-5516",
            "fax_number": "770-590-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRAM HEALTHCARE CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BYRAM HOLDINGS I, INC.",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "BERNOCCHI",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "732-302-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "00761791A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508579",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.