Organization Active NPI

KRG Medical Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Simpsonville, SC
National Provider Identifier
1083476485
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KRG MEDICAL SERVICES LLC
Practice address
1107 NE Main St Ste C
Simpsonville, SC 29681-6017
Phone
(864) 386-5682
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Kenneth Griffin
Title
Owner
Phone
(864) 386-5682

Specialties & licenses 1

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

Addresses

Primary practice location

1107 NE Main St Ste C
Simpsonville, SC 29681-6017

Mailing address

1107 NE Main St Ste C
Simpsonville, SC 29681-6017
Phone (864) 386-5682

National Provider Directory

National Provider Directory

Locations

1107 NE Main St
Ste C
Simpsonville, SC 29681
Phone (864) 361-0189

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1083476485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NE MAIN ST STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816017",
            "telephone_number": "864-386-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NE MAIN ST STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816017",
            "telephone_number": "864-386-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRG MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-386-5682"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.