Organization Active NPI

Toccoa Clinic Medical Assoc

  • Durable Medical Equipment & Medical Supplies
  • Toccoa, GA
National Provider Identifier
1306036892
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOCCOA CLINIC MEDICAL ASSOC
Practice address
274 Big a Road
Toccoa, GA 30577-6002
Phone
(706) 886-7537
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Mr. Ray Brueland
Title
Business Director
Phone
(706) 886-7537

Specialties & licenses 1

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

Addresses

Primary practice location

274 Big a Road
Toccoa, GA 30577-6002

Mailing address

PO Box 2153
Dept 3423
Birmingham, AL 35287-3423

Other identifiers 1

IdentifierTypeStateIssuer
0835590001OtherGAMEDICARE DME SUPPLIER NUM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1306036892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153",
            "address_2": "DEPT 3423",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352873423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 BIG A ROAD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776002",
            "telephone_number": "706-886-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOCCOA CLINIC MEDICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "BRUELAND",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "706-886-7537",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME SUPPLIER NUM",
            "identifier": "0835590001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.