NPIMap

Organization Active NPI

National Medical Enterprise

  • Durable Medical Equipment & Medical Supplies
  • College Park, GA
National Provider Identifier
1154499416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NATIONAL MEDICAL ENTERPRISE
Practice address
934 Garden Walk Blvd
#1104
College Park, GA 30349-8517
Phone
(121) 456-2257
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kerwin Wayne Wilson I, O&P FITTER
Title
Ceo-President
Phone
(214) 562-2571

Specialties & licenses 1

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

Addresses

Primary practice location

934 Garden Walk Blvd
#1104
College Park, GA 30349-8517

Mailing address

934 Garden Walk Blvd
#1104
College Park, GA 30349-8517
Phone (121) 456-2257

Other names 1

  • National Medical Enterprise Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154499416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 GARDEN WALK BLVD",
            "address_2": "#1104",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303498517",
            "telephone_number": "121-456-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 GARDEN WALK BLVD",
            "address_2": "#1104",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303498517",
            "telephone_number": "121-456-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KERWIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "214-562-2571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "O&P FITTER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Medical Enterprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • 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.