Organization Active NPI

D&D Medical Supplies & Services

  • Durable Medical Equipment & Medical Supplies
  • Covington, GA
National Provider Identifier
1154437234
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
53795 Issued in GA
Legal business name
D&D MEDICAL SUPPLIES & SERVICES
Practice address
2117 Pace St
Morgan Shopping Plaza
Covington, GA 30014-6652
Phone
(678) 658-6293
Fax
(678) 658-6296
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Mrs. Peggy Anderson
Title
Ownerpresident
Phone
(678) 658-6293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 53795 GA Primary

Addresses

Primary practice location

2117 Pace St
Morgan Shopping Plaza
Covington, GA 30014-6652

Mailing address

2117 Pace St
Morgan Shopping Plaza
Covington, GA 30014-6652
Phone (678) 658-6293

Other identifiers 1

IdentifierTypeStateIssuer
000980394BMedicaidGA

National Provider Directory

National Provider Directory

Locations

2117 Pace St
Covington, GA 30014
Phone (678) 658-6293

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1154437234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 PACE ST",
            "address_2": "MORGAN SHOPPING PLAZA",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146652",
            "telephone_number": "678-658-6293",
            "fax_number": "678-658-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 PACE ST",
            "address_2": "MORGAN SHOPPING PLAZA",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146652",
            "telephone_number": "678-658-6293",
            "fax_number": "678-658-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&D MEDICAL SUPPLIES & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "678-658-6293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "53795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000980394B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.