Organization Active NPI

Medical Equipment Supply Place Inc

  • Durable Medical Equipment & Medical Supplies
  • Norcross, GA
National Provider Identifier
1164142808
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL EQUIPMENT SUPPLY PLACE INC
Practice address
5380 Peachtree Industrial Blvd Ste 145
Norcross, GA 30071-1579
Phone
(770) 685-1352
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Mr. Ramakrishna Machu
Title
Managing Director
Phone
(848) 256-0682

Specialties & licenses 1

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

Addresses

Primary practice location

5380 Peachtree Industrial Blvd Ste 145
Norcross, GA 30071-1579

Mailing address

5380 Peachtree Industrial Blvd Ste 145
Norcross, GA 30071-1579
Phone (770) 685-1352

National Provider Directory

National Provider Directory

Locations

5380 Peachtree Industrial Blvd
Ste 145
Norcross, GA 30071
Phone (770) 685-1352

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1164142808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 145",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711579",
            "telephone_number": "770-685-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 145",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711579",
            "telephone_number": "770-685-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EQUIPMENT SUPPLY PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "MACHU",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "848-256-0682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.