Active NPI
Agape Medical Supply & Durable Medical Equipment
- Oxygen Equipment & Supplies (DME)
- Atlanta, GA
National Provider Identifier
1104009802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- AGAPE MEDICAL SUPPLY & DURABLE MEDICAL EQUIPMENT
- Practice address
- 2564 Peyton Woods TRL SW
Atlanta, GA 30311-2157 - Phone
- (404) 696-9826
- Fax
- (404) 696-9826
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Ronald Wynn
- Title
- Director of Business Development
- Phone
- (404) 310-0803
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
- NPI 1013161686
National Provider Directory
- Tax ID family
- Agape Medical Supply Durable Medical Equipment
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2564 Peyton Woods TRL SW
Atlanta, GA 30311-2157
Mailing address
8202 Lullwater CT
Jonesboro, GA 30236-3963
Phone (404) 435-5931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2007.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197849600000",
"number": "1104009802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 LULLWATER CT",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302363963",
"telephone_number": "404-435-5931",
"fax_number": "404-696-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2564 PEYTON WOODS TRL SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303112157",
"telephone_number": "404-696-9826",
"fax_number": "404-696-9826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE MEDICAL SUPPLY & DURABLE MEDICAL EQUIPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2007-12-17",
"status": "A",
"authorized_official_last_name": "WYNN",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
"authorized_official_telephone_number": "404-310-0803",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.