NPIMap

Organization Active NPI

Access DME Fo

  • Oxygen Equipment & Supplies (DME)
  • Fort Oglethorpe, GA
National Provider Identifier
1194000224
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0000512 Issued in TN
Legal business name
ACCESS DME FO
Doing business as
Access DME FO
Practice address
89 Crye Leike Dr
Fort Oglethorpe, GA 30742-4055
Phone
(706) 858-6771
Fax
(706) 858-6772
NPI assigned
Oct 20, 2011
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ACCESS DME LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Mr. Eddie Jenkins
Title
Manager
Phone
(423) 877-3568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0000512 TN Primary

Addresses

Primary practice location

89 Crye Leike Dr
Fort Oglethorpe, GA 30742-4055

Mailing address

4062 Hixson Pike
Chattanooga, TN 37415-3110
Phone (423) 877-3568

Other names 1

  • Access DME FO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Access Durable Medical Equipment LLC3 organizations share this tax ID, including this one
Part of
Access Durable Medical Equipment LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1194000224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153110",
            "telephone_number": "423-877-3568",
            "fax_number": "423-877-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CRYE LEIKE DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424055",
            "telephone_number": "706-858-6771",
            "fax_number": "706-858-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DME FO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCESS DME LLC",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-877-3568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access DME FO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.