Active NPI
Med South Surgical, Inc.
- Durable Medical Equipment & Medical Supplies
- Alpharetta, GA
National Provider Identifier
1114052396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MED SOUTH SURGICAL, INC.
- Practice address
- 6535 Shiloh Rd
Suite C600
Alpharetta, GA 30005-1608 - Phone
- (770) 292-9747
- Fax
- (770) 292-9754
- NPI assigned
- Feb 21, 2007
- Last updated
- Feb 7, 2012
- 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
- Mr. Eric Stevens
- Title
- DME Manager
- Phone
- (770) 292-9747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
6535 Shiloh Rd
Suite C600
Alpharetta, GA 30005-1608
Mailing address
PO Box 28126
Atlanta, GA 30358-0126
Phone (770) 292-9747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120124000671 | GA | DME Supplier - Medical Supply Company | 0547437014 | Practice locations: Alpharetta, GA |
National Provider Directory
National Provider DirectoryLocations
430 Winkler Dr
Ste 100
Alpharetta, GA 30004
Phone (470) 395-0835
6535 Shiloh Rd
Ste C600
Alpharetta, GA 30005
Phone (770) 292-9747
6840 Meadowridge Ct
Alpharetta, GA 30005
Phone (470) 395-0835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328572800000",
"number": "1114052396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28126",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303580126",
"telephone_number": "770-292-9747",
"fax_number": "770-292-9754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 SHILOH RD",
"address_2": "SUITE C600",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051608",
"telephone_number": "770-292-9747",
"fax_number": "770-292-9754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED SOUTH SURGICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2012-02-07",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "DME MANAGER",
"authorized_official_telephone_number": "770-292-9747",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.