Organization Active NPI

TSG Mediquip, LLC

  • Durable Medical Equipment & Medical Supplies
  • Stone Mountain, GA
National Provider Identifier
1295379055
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TSG MEDIQUIP, LLC
Practice address
2075 W Park Place Blvd Ste C
Stone Mountain, GA 30087-3542
Phone
(404) 410-9114
Fax
(404) 521-4665
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Kimberly Callaway
Title
Director of Operations
Phone
(832) 993-8374

Specialties & licenses 1

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

Addresses

Primary practice location

2075 W Park Place Blvd Ste C
Stone Mountain, GA 30087-3542

Mailing address

2075 W Park Place Blvd Ste C
Stone Mountain, GA 30087-3542
Phone (404) 410-9114

National Provider Directory

National Provider Directory

Locations

2075 W Park Place Blvd
Ste C
Stone Mtn, GA 30087
Phone (404) 410-9114

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1295379055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 W PARK PLACE BLVD STE C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873542",
            "telephone_number": "404-410-9114",
            "fax_number": "404-521-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W PARK PLACE BLVD STE C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873542",
            "telephone_number": "404-410-9114",
            "fax_number": "404-521-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSG MEDIQUIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "832-993-8374"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.