Organization Active NPI

Duralife DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Johns Creek, GA
National Provider Identifier
1053287151
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DURALIFE DME LLC
Practice address
4640 Valais CT Ste 101
Johns Creek, GA 30022-2606
Phone
(678) 346-0052
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Amir Yousaf Ali Khan
Title
Owner
Phone
(678) 346-0052

Specialties & licenses 1

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

Addresses

Primary practice location

4640 Valais CT Ste 101
Johns Creek, GA 30022-2606

Mailing address

4640 Valais CT Ste 101
Johns Creek, GA 30022-2606
Phone (678) 346-0052

National Provider Directory

National Provider Directory

Locations

4640 Valais Ct
Ste 101
Johns Creek, GA 30022
Phone (678) 346-0052

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1053287151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 VALAIS CT STE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300222606",
            "telephone_number": "678-346-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 VALAIS CT STE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300222606",
            "telephone_number": "678-346-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURALIFE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "YOUSAF ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-346-0052"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.