Genesis DME, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

GENESIS DME, INC.

Practice address

201 Westside Dr
Douglas, GA 31533-3529

Phone

(912) 393-1250

Fax

(912) 393-1248

NPI assigned

May 27, 2010

Organization subpart

Yes

Parent organization

GENESIS DME, INC.As reported in NPPES

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

Authorized official

Name

Mr. Donnie L Streat Sr.

Title

Ceo

Phone

(912) 285-5200

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Genesis DME Inc

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1124347364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PLANT AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016046",
            "telephone_number": "912-285-5200",
            "fax_number": "912-285-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WESTSIDE DR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333529",
            "telephone_number": "912-393-1250",
            "fax_number": "912-393-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS DME, INC.",
        "enumeration_date": "2010-05-27",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "STREAT",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-285-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150824A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Douglas, GA
• Providers in Douglas, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.