Active NPI
Toccoa Clinic Medical Assoc
- Durable Medical Equipment & Medical Supplies
- Toccoa, GA
National Provider Identifier
1306036892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0835590001 | Other | GA | MEDICARE DME SUPPLIER NUM |
National Provider Directory
National Provider DirectoryNPI 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.