Active NPI
Care Medical of Athens, Inc.
- Durable Medical Equipment & Medical Supplies
- Athens, GA
National Provider Identifier
1245209105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CARE MEDICAL OF ATHENS, INC.
- Practice address
- 1242 Prince Ave
Athens, GA 30606-2732 - Phone
- (706) 354-4136
- NPI assigned
- Mar 14, 2006
- Last updated
- Dec 16, 2019
- 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
- Greg Crawford
- Title
- Authorized Official
- Phone
- (859) 441-8876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1242 Prince Ave
Athens, GA 30606-2732
Mailing address
1242 Prince Ave
Athens, GA 30606-2732
Phone (706) 354-4136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000597495A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930088202 | GA | DME Supplier - Medical Supply Company | 7315063070 | Practice locations: Athens, 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 |
|---|---|---|
| Care Medical of Athens, Inc. | Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applica… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1242 Prince Ave
Athens, GA 30606
Phone (706) 354-4136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1245209105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1242 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062732",
"telephone_number": "706-354-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1242 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062732",
"telephone_number": "706-354-4136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE MEDICAL OF ATHENS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "859-441-8876"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000597495A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.