Active NPI
Triple J Medical Supply
- Durable Medical Equipment & Medical Supplies
- Jonesboro, GA
National Provider Identifier
1023856515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRIPLE J MEDICAL SUPPLY
- Practice address
- 9582 Tara Blvd Ste 3
Jonesboro, GA 30236-6089 - Phone
- (678) 819-2999
- NPI assigned
- Jul 18, 2024
- 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
- Chelsie Maduagu
- Title
- Authorized Official
- Phone
- (678) 819-2999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
9582 Tara Blvd Ste 3
Jonesboro, GA 30236-6089
Mailing address
9582 Tara Blvd Ste 3
Jonesboro, GA 30236-6089
Phone (678) 819-2999
National Provider Directory
National Provider DirectoryLocations
9582 Tara Blvd
#3
Jonesboro, GA 30236
Phone (678) 819-2999
9582 Tara Blvd
Ste 3
Jonesboro, GA 30236
Phone (678) 819-2999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hampton, GA
- NPI 1114780087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1023856515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9582 TARA BLVD STE 3",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302366089",
"telephone_number": "678-819-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9582 TARA BLVD STE 3",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302366089",
"telephone_number": "678-819-2999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIPLE J MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "MADUAGU",
"authorized_official_first_name": "CHELSIE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "678-819-2999"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.