Care Medical of Gainesville, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CARE MEDICAL OF GAINESVILLE, LLC

Practice address

955 Interstate Ridge Dr Ste D
Gainesville, GA 30501-7051

Phone

(770) 534-9944

Fax

(770) 534-9968

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These 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

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1285739268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306031387",
            "telephone_number": "706-354-4136",
            "fax_number": "706-548-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 INTERSTATE RIDGE DR STE D",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017051",
            "telephone_number": "770-534-9944",
            "fax_number": "770-534-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL OF GAINESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "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": "539615923A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerra Canup
• Kimberly Diane Canupp, AGACNP
• Nicole Phuong Khanh Cao-Callicotte, FNP
• Zachary Cao, PT, DPT
• Cardiovascular Clinic of North Georgia PC
• Careatc
• Caresouth HHA Holdings of Gainesville, LLC (Enhabit Home Health)
• Susan F Carey, MD
• Timothy Mitch Carey, MD
• Catherine Ann Carlson

• Durable Medical Equipment & Medical Supplies in Gainesville, GA
• Providers in Gainesville, 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 Jul 9, 2020; 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.

Verify at the official NPI Registry.