Diabetic Medic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC MEDIC, LLC

Practice address

515 Ivey Pointe Way
Roswell, GA 30076-3796

Phone

(404) 786-5585

Fax

(770) 521-1940

NPI assigned

Nov 25, 2007

Organization subpart

No

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

Authorized official

Name

Jana Kats

Title

Owner

Phone

(404) 786-5585

Specialties & licenses 1

Addresses

Other names 1

• DIABETIC MEDIC Doing business as

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

{
    "created_epoch": "1195948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195948800000",
    "number": "1104007798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 IVEY POINTE WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763796",
            "telephone_number": "404-786-5585",
            "fax_number": "770-521-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 IVEY POINTE WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763796",
            "telephone_number": "404-786-5585",
            "fax_number": "770-521-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC MEDIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-25",
        "last_updated": "2007-11-25",
        "status": "A",
        "authorized_official_last_name": "KATS",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-786-5585"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIABETIC MEDIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Roswell, GA
• Providers in Roswell, 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 25, 2007; 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.