NPIMap

Organization Active NPI

DME

  • Durable Medical Equipment & Medical Supplies
  • Kathleen, GA
National Provider Identifier
1124458567
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1 Issued in GA
Legal business name
DME
Practice address
123 Sylvan Dr
Kathleen, GA 31047-2418
Phone
(478) 397-0125
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Brian Williams
Title
Ceo
Phone
(478) 397-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1 GA Primary

Addresses

Primary practice location

123 Sylvan Dr
Kathleen, GA 31047-2418

Mailing address

123 Sylvan Dr
P O Box 244
Kathleen, GA 31047-2418
Phone (478) 397-0125

National Provider Directory

National Provider Directory
Tax ID family
DME4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124458567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SYLVAN DR",
            "address_2": "P O BOX 244",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472418",
            "telephone_number": "478-397-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SYLVAN DR",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472418",
            "telephone_number": "478-397-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-397-0125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.