Active NPI
Midwest Medical Enterprises, LLC
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
National Provider Identifier
1194055475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MIDWEST MEDICAL ENTERPRISES, LLC
- Practice address
- 2295 Parklake Drive
Suite 100
Atlanta, GA 30345-2816 - Phone
- (877) 593-3546
- Fax
- (877) 593-9689
- NPI assigned
- Jan 8, 2010
- 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
- Mr. Greg Minton
- Title
- VP Operations
- Phone
- (877) 414-4260
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 16-00186 | KS | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2295 Parklake Drive
Suite 100
Atlanta, GA 30345-2816
Mailing address
2295 Parklake Drive
Suite 100
Atlanta, GA 30345-2816
Phone (877) 414-4260
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470182400000",
"number": "1194055475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 PARKLAKE DRIVE",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452816",
"telephone_number": "877-414-4260",
"fax_number": "877-593-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 PARKLAKE DRIVE",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452816",
"telephone_number": "877-593-3546",
"fax_number": "877-593-9689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST MEDICAL ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-08",
"last_updated": "2016-08-03",
"status": "A",
"authorized_official_last_name": "MINTON",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "877-414-4260",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KS",
"license": "16-00186",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.