Elite Wheelchair Products, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20218 Issued in GA

Legal business name

ELITE WHEELCHAIR PRODUCTS, INC

Practice address

703 Bascomb Commercial Pkwy Ste 104
Woodstock, GA 30189-2447

Phone

(678) 494-0456

Fax

(678) 494-0412

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phillip A Griggs, ATS/CRTS

Title

President

Phone

(678) 494-0456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114949187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BASCOMB COMMERCIAL PKWY STE 104",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892447",
            "telephone_number": "678-494-0456",
            "fax_number": "678-494-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BASCOMB COMMERCIAL PKWY STE 104",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892447",
            "telephone_number": "678-494-0456",
            "fax_number": "678-494-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WHEELCHAIR PRODUCTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-494-0456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATS/CRTS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Woodstock, GA
• Providers in Woodstock, 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 Aug 22, 2020; 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.