Active NPI
Flourish of Thomasville
- Durable Medical Equipment & Medical Supplies
- Thomasville, GA
National Provider Identifier
1235523275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2024
- 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
- Mrs. Gerriann J. Kennedy
- Title
- Co-Founder
- Phone
- (229) 236-5111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151203003139 | GA | DME Supplier - Prosthetic Personnel | 5193025781 | Practice locations: Thomasville, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Flourish of Thomasville | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.