Organization Active NPI

Flourish of Thomasville

  • Durable Medical Equipment & Medical Supplies
  • Thomasville, GA
National Provider Identifier
1235523275
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FLOURISH OF THOMASVILLE
Practice address
109 W Jackson St
Thomasville, GA 31792-5402
Phone
(229) 236-5111
Fax
(229) 236-5112
NPI assigned
Mar 27, 2015
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Mrs. Gerriann J. Kennedy
Title
Co-Founder
Phone
(229) 236-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

109 W Jackson St
Thomasville, GA 31792-5402

Mailing address

109 W Jackson St
Thomasville, GA 31792-5402
Phone (229) 236-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151203003139 GA DME Supplier - Prosthetic Personnel 5193025781 Practice locations: Thomasville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Flourish of Thomasville109 W Jackson St, Thomasville, GA 31792-5402(229) 236-5111 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Sep 24, 2015

National Provider Directory

National Provider Directory

Locations

109 W Jackson St
Thomasville, GA 31792
Phone (229) 236-5111

14004 US Highway 19 S
Ste 112
Thomasville, GA 31757

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1235523275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925402",
            "telephone_number": "229-236-5111",
            "fax_number": "229-236-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925402",
            "telephone_number": "229-236-5111",
            "fax_number": "229-236-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH OF THOMASVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "GERRIANN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "229-236-5111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.