Stay Active Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STAY ACTIVE INC

Practice address

935 Highway 124
Suite 206
Braselton, GA 30517-3484

Phone

(678) 492-7899

Fax

(770) 965-9249

NPI assigned

May 3, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Garol A Orr

Title

President

Phone

(678) 492-7899

Specialties & licenses 1

Addresses

Other names 1

• 101 Mobility of North Georgia Doing business as

Locations

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1245675289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 HIGHWAY 124",
            "address_2": "SUITE 206",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173484",
            "telephone_number": "678-492-7899",
            "fax_number": "770-965-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HIGHWAY 124",
            "address_2": "SUITE 206",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173484",
            "telephone_number": "678-492-7899",
            "fax_number": "770-965-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY ACTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "GAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-492-7899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Mobility of North Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Specialty Spine and Pain, PC
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• Kandis Stallings, OTC
• David Stanley, MD
• Nina Rowe Stefanie, AGACNP-BC
• Rebekah Stegmayer, PA
• Ilisa Beth Stern, DMD
• Christine Stoutenburg, LPC
• Hannah Strong

• Durable Medical Equipment & Medical Supplies in Braselton, GA
• Providers in Braselton, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.