Advantrra Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANTRRA MEDICAL SUPPLIES

Practice address

4707 Ashford Dunwoody Rd Unit 467021
Atlanta, GA 31146-0100

Phone

(216) 214-1547

NPI assigned

Aug 15, 2012

Last updated

Aug 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jamie Reid

Title

V.President

Phone

(216) 214-1547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1164770673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 HOSPITAL AVE",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "216-214-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 ASHFORD DUNWOODY RD UNIT 467021",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311460100",
            "telephone_number": "216-214-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTRRA MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "V.PRESIDENT",
        "authorized_official_telephone_number": "216-214-1547",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.