Organization Active NPI

Nuwave Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Woodstock, GA
National Provider Identifier
1295589372
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 24, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.