NPIMap

Organization Active NPI

Triad Medical Alliance

  • Durable Medical Equipment & Medical Supplies
  • Valdosta, GA
National Provider Identifier
1144595679
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
O-007058 Issued in GA
Legal business name
TRIAD MEDICAL ALLIANCE
Practice address
3790 Old US Highway 41 N Ste C
Suite C
Valdosta, GA 31602-6867
Phone
(229) 241-8811
NPI assigned
Mar 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Al Turner
Title
Registered Manager
Phone
(229) 244-4811

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X O-007058 GA Primary
Customized Equipment (DME) 332BC3200X O-007058 GA
Oxygen Equipment & Supplies (DME) 332BX2000X O-007058 GA

Addresses

Primary practice location

3790 Old US Highway 41 N Ste C
Suite C
Valdosta, GA 31602-6867

Mailing address

3790 Old US Highway 41 N Ste C
Suite C
Valdosta, GA 31602-6867
Phone (229) 241-8811

National Provider Directory

National Provider Directory

Locations

3790 Old US Highway 41 N
Ste C
Valdosta, GA 31602
Phone (229) 241-8811

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1144595679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 OLD US HIGHWAY 41 N STE C",
            "address_2": "SUITE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026867",
            "telephone_number": "229-241-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 OLD US HIGHWAY 41 N STE C",
            "address_2": "SUITE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026867",
            "telephone_number": "229-241-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD MEDICAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "REGISTERED MANAGER",
        "authorized_official_telephone_number": "229-244-4811"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "O-007058",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "O-007058",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "O-007058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.