Organization Active NPI

Shuman Healthcare Brunswick

  • Customized Equipment (DME)
  • Brunswick, GA
National Provider Identifier
1073505186
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SHUMAN HEALTHCARE BRUNSWICK
Practice address
3021 Altama Ave
Brunswick, GA 31520-4608
Phone
(912) 264-8034
Fax
(912) 264-4151
NPI assigned
Aug 16, 2005
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Roy M Shuman, RPH
Title
Owner/Ceo
Phone
(912) 285-5272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

3021 Altama Ave
Brunswick, GA 31520-4608

Mailing address

2013 Tebeau St
Waycross, GA 31501-6358
Phone (912) 264-8034

Other identifiers 1

IdentifierTypeStateIssuer
000143679AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3021 Altama Ave
Brunswick, GA 31520
Phone (912) 264-8034

2013 Tebeau St
Waycross, GA 31501

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1073505186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016358",
            "telephone_number": "912-264-8034",
            "fax_number": "912-264-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 ALTAMA AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204608",
            "telephone_number": "912-264-8034",
            "fax_number": "912-264-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUMAN HEALTHCARE BRUNSWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "912-285-5272",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143679A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.