Altamaha DME, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ALTAMAHA DME, INC

Doing business as

Coastal Medical Equipment & Uniforms

Practice address

138 Canal St Ste 101
Pooler, GA 31322-4048

Phone

(912) 559-2442

NPI assigned

Feb 8, 2019

Last updated

Sep 8, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

ALTAMAHA DME, INCAs reported in NPPES

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

Authorized official

Name

Terri Brake

Title

President

Phone

(912) 427-6600

Specialties & licenses 1

Addresses

Other names 1

• COASTAL MEDICAL EQUIPMENT & UNIFORMS Doing business as

Part of

Altamaha DME

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betsy Erin Tanner, MSN-FNP, BC

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1295387751
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1306301841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451130",
            "telephone_number": "912-427-6600",
            "fax_number": "866-324-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CANAL ST STE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224048",
            "telephone_number": "912-559-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMAHA DME, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTAMAHA DME, INC",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-427-6600"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL MEDICAL EQUIPMENT & UNIFORMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Pooler, GA
• Providers in Pooler, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.