Omnimed Medical Supply and Equipment L.L.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OMNIMED MEDICAL SUPPLY AND EQUIPMENT L.L.C.

Practice address

3113 Edinburgh CT
Conyers, GA 30094-6863

Phone

(770) 648-8622

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Rogers Fulcher Gotier II

Title

Ceo

Phone

(770) 648-8622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1205119294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 COMMERCIAL ST NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124537",
            "telephone_number": "770-648-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 EDINBURGH CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946863",
            "telephone_number": "770-648-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIMED MEDICAL SUPPLY AND EQUIPMENT L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "GOTIER",
        "authorized_official_first_name": "ROGERS",
        "authorized_official_middle_name": "FULCHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-648-8622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "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 Sep 26, 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.