Active NPI
Ma Med Supply LLC
- Durable Medical Equipment & Medical Supplies
- Alpharetta, GA
National Provider Identifier
1104639087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MA MED SUPPLY LLC
- Practice address
- 555 N Point Ctr E Ste 471
Alpharetta, GA 30022-8269 - Phone
- (800) 678-7875
- Fax
- (800) 678-7875
- NPI assigned
- Jan 27, 2025
- Last updated
- Jan 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed M Hasan
- Title
- President
- Phone
- (800) 678-7875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
555 N Point Ctr E Ste 471
Alpharetta, GA 30022-8269
Mailing address
555 N Point Ctr E Ste 471
Alpharetta, GA 30022-8269
Phone (800) 678-7875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250528001923 | GA | DME Supplier - Medical Supply Company | 7315466893 | Practice locations: Alpharetta, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ma Med Supply LLC | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Off-The-Shelf|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
555 N Point Ctr E
Ste 471
Alpharetta, GA 30022
Phone (800) 678-7875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1104639087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N POINT CTR E STE 471",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228269",
"telephone_number": "800-678-7875",
"fax_number": "800-678-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N POINT CTR E STE 471",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228269",
"telephone_number": "800-678-7875",
"fax_number": "800-678-7875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MA MED SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "HASAN",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-678-7875"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
- Luxottica Retail North America Inc (Target Optical #C4467)
- Luxottica Retail North America Inc (Sears Optical #C0162)
- Kelly Grommersch Lynch, NP
- Taylor Lyon, BCBA
- Stacy Lynn Lyons, OTR/L
- Gabriella Mabayyed
- Jakkiyah Mack
- Leslie K Mack, MS, RDN, LD
- George B Macmaster, DMD
- Susan Danielle Macmillan, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.