Elite Wound Care and Medical Supplies

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ELITE WOUND CARE AND MEDICAL SUPPLIES

Doing business as

Demand Medical Equipment

Practice address

2498 Washington Rd Ste B
Thomson, GA 30824-6600

Phone

(706) 595-2200

Fax

(706) 597-8703

NPI assigned

Oct 26, 2017

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dayna Ann Hicks

Title

President

Phone

(706) 595-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Demand Medical Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1306358718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 WASHINGTON RD STE B",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-595-2200",
            "fax_number": "706-597-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 WASHINGTON RD STE B",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-595-2200",
            "fax_number": "706-597-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND CARE AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-595-2200"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003206721A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Demand Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henk F Degraaf, DC
• Sheanette S Drake, LCSW
• DRS Jopling and Brunson
• Thomas Duff, DO
• Brittany Dybel, ATC
• Amanda Rose Engelbart, DDS
• Essential Helping Hands
• Essential Helping Hands
• Essential Helping Hands
• Charles Fair

• Oxygen Equipment & Supplies (DME) in Thomson, GA
• Providers in Thomson, 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 Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.