Active NPI
Ribbon of Hope
- Customized Equipment (DME)
- Brunswick, GA
National Provider Identifier
1255751673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- RIBBON OF HOPE
- Practice address
- 3025 Shrine Rd
Suite 170
Brunswick, GA 31520-4784 - Phone
- (912) 264-3939
- Fax
- (912) 264-5868
- NPI assigned
- Apr 24, 2014
- 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
- Mr. Scott Raynes, MBA, MA
- Title
- Ceo & President
- Phone
- (912) 466-7049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
3025 Shrine Rd
Suite 170
Brunswick, GA 31520-4784
Mailing address
3025 Shrine Rd
Suite 170
Brunswick, GA 31520-4784
Phone (912) 264-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160705000049 | GA | DME Supplier - Medical Supply Company With Prosthetic Personnel | 6608168158 | Practice locations: Brunswick, 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 |
|---|---|---|
| Ribbon of Hope, Inc. | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
3025 Shrine Rd
Ste 170
Brunswick, GA 31520
Phone (912) 264-3939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667779200000",
"number": "1255751673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 SHRINE RD",
"address_2": "SUITE 170",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204784",
"telephone_number": "912-264-3939",
"fax_number": "912-264-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 SHRINE RD",
"address_2": "SUITE 170",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204784",
"telephone_number": "912-264-3939",
"fax_number": "912-264-5868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIBBON OF HOPE",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-24",
"last_updated": "2022-11-07",
"certification_date": "2022-02-21",
"status": "A",
"authorized_official_last_name": "RAYNES",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CEO & PRESIDENT",
"authorized_official_telephone_number": "912-466-7049",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA, MA"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.