Organization Active NPI

Georgia CPM

  • Durable Medical Equipment & Medical Supplies
  • Tucker, GA
National Provider Identifier
1316065626
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GEORGIA CPM
Practice address
1479 Brockett Rd
Suite 101
Tucker, GA 30084-7326
Phone
(770) 414-4260
Fax
(770) 414-4257
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Richard L Parker Sr., COF
Title
President
Phone
(770) 414-4260

Specialties & licenses 1

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

Addresses

Primary practice location

1479 Brockett Rd
Suite 101
Tucker, GA 30084-7326

Mailing address

PO Box 2650
McDonough, GA 30253-1739
Phone (770) 414-4260

National Provider Directory

National Provider Directory

Locations

4350 Georgetown Sq
Ste 725
Atlanta, GA 30338

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1316065626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302531739",
            "telephone_number": "770-414-4260",
            "fax_number": "770-414-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 BROCKETT RD",
            "address_2": "SUITE 101",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847326",
            "telephone_number": "770-414-4260",
            "fax_number": "770-414-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-414-4260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.