Organization Active NPI

Amy L Danielly Mediquip Rehabilitative Equipment & Supplies Plus

  • Durable Medical Equipment & Medical Supplies
  • Macon, GA
National Provider Identifier
1245494509
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMY L DANIELLY MEDIQUIP REHABILITATIVE EQUIPMENT & SUPPLIES PLUS
Practice address
808 Pio Nono Ave
Macon, GA 31204-3536
Phone
(478) 742-1300
Fax
(478) 742-1302
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Ms. Amy L Danielly
Title
Owner/Director
Phone
(478) 742-1300

Specialties & licenses 1

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

Addresses

Primary practice location

808 Pio Nono Ave
Macon, GA 31204-3536

Mailing address

808 Pio Nono Ave
Macon, GA 31204-3536
Phone (478) 742-1300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1245494509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043536",
            "telephone_number": "478-742-1300",
            "fax_number": "478-742-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043536",
            "telephone_number": "478-742-1300",
            "fax_number": "478-742-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY L DANIELLY MEDIQUIP REHABILITATIVE EQUIPMENT & SUPPLIES PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "DANIELLY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "478-742-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.