Active NPI
Nuwave Medical Supply, LLC
- Durable Medical Equipment & Medical Supplies
- Woodstock, GA
National Provider Identifier
1295589372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NUWAVE MEDICAL SUPPLY, LLC
- Practice address
- 222 River Park North Dr Ste B
Woodstock, GA 30188-7834 - Phone
- (800) 265-8765
- NPI assigned
- Apr 15, 2024
- 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. Neal Noel
- Title
- Manager
- Phone
- (800) 265-8765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
222 River Park North Dr Ste B
Woodstock, GA 30188-7834
Mailing address
1290 Kennestone Cir Ste A103
Marietta, GA 30066-6010
Phone (800) 265-8765
National Provider Directory
National Provider DirectoryLocations
1290 Kennestone Cir
Ste A103
Marietta, GA 30066
Phone (678) 904-5789
222 River Park North Dr
Ste B
Woodstock, GA 30188
Phone (800) 265-8765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1295589372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 KENNESTONE CIR STE A103",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666010",
"telephone_number": "800-265-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 RIVER PARK NORTH DR STE B",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887834",
"telephone_number": "800-265-8765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUWAVE MEDICAL SUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-15",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "NOEL",
"authorized_official_first_name": "NEAL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "800-265-8765",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.