Organization Active NPI

Shoes and Medical Product Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Albany, GA
National Provider Identifier
1265962906
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHOES AND MEDICAL PRODUCT SOLUTIONS LLC
Practice address
1715 E Oglethorpe Blvd
Albany, GA 31705
Phone
(229) 444-8866
Fax
(229) 496-6898
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David Lee Sampson
Title
President
Phone
(229) 444-8866

Specialties & licenses 1

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

Addresses

Primary practice location

1715 E Oglethorpe Blvd
Albany, GA 31705

Mailing address

1715 E Oglethorpe Blvd
Albany, GA 31705-2930
Phone (229) 496-6897

Other practice location 1

2331 Main Hwy
Bamberg, SC 29003-2701
Phone (229) 496-6897

Other practice location 2

1715 E Oglethorpe Blvd
Albany, GA 31705
Phone (229) 444-8866

National Provider Directory

National Provider Directory

Locations

2331 Main Hwy
Bamberg, SC 29003
Phone (229) 496-6897

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265962906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052930",
            "telephone_number": "229-496-6897",
            "fax_number": "229-496-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31705",
            "telephone_number": "229-444-8866",
            "fax_number": "229-496-6898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 Main Hwy",
            "address_purpose": "LOCATION",
            "city": "Bamberg",
            "state": "SC",
            "postal_code": "290032701",
            "country_code": "US",
            "telephone_number": "229-496-6897",
            "fax_number": "229-496-6898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 E Oglethorpe Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "31705",
            "country_code": "US",
            "telephone_number": "229-444-8866",
            "fax_number": "229-496-6898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHOES AND MEDICAL PRODUCT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-444-8866"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.