Premier Medical Equipment. LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER MEDICAL EQUIPMENT. LLC

Practice address

89 Crye Leike Dr
Fort Oglethorpe, GA 30742-4055

Phone

(706) 858-6771

Fax

(706) 858-6772

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Lisa A Scott

Title

President

Phone

(423) 648-4164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1033155601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CRYE LEIKE DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424055",
            "telephone_number": "706-858-6771",
            "fax_number": "706-858-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CRYE LEIKE DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424055",
            "telephone_number": "706-858-6771",
            "fax_number": "706-858-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL EQUIPMENT. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-648-4164"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Marie Peterson, RN
• Michael Robert Petron, PT, DPT
• Shane David Pflanz, OTR/L
• Loula Bett Pittman, M.ED., L.P.C.
• Charles George Pray, D.C.
• Premier Sleep Center, LLC
• Premier Sleep Diagnostic Centers LLC
• Primary Health Care Center of Dade, Inc. (Primary Rx)
• Primary Health Care Center of Dade, Inc. (Primary Health Care Center)
• Primary Health Care Center of Dade, Inc. (Primary Healthcare Center Mitchell Rd)

• Durable Medical Equipment & Medical Supplies in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.