Active NPI
Georgia CPM
- Durable Medical Equipment & Medical Supplies
- Tucker, GA
National Provider Identifier
1316065626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.