Active NPI
Superior Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Martinez, GA
National Provider Identifier
1184390692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SUPERIOR MEDICAL SUPPLIES
- Practice address
- 351 Candlestick Way
Martinez, GA 30907-3382 - Phone
- (706) 380-8271
- NPI assigned
- Aug 17, 2021
- Last updated
- Aug 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Ann Hart
- Title
- Owner
- Phone
- (706) 380-8271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
351 Candlestick Way
Martinez, GA 30907-3382
Mailing address
351 Candlestick Way
Martinez, GA 30907-3382
Phone (706) 380-8271
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629158400000",
"number": "1184390692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 CANDLESTICK WAY",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309073382",
"telephone_number": "706-380-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 CANDLESTICK WAY",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309073382",
"telephone_number": "706-380-8271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-380-8271"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.