Organization Active NPI

Medequip Plus, LLC

  • Durable Medical Equipment & Medical Supplies
  • Snellville, GA
National Provider Identifier
1316087760
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDEQUIP PLUS, LLC
Practice address
3555 Centerville Hwy
Suite 103
Snellville, GA 30039-6405
Phone
(404) 561-3593
Fax
(770) 985-9229
NPI assigned
Feb 7, 2007
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Mr. Ted Willis
Title
President
Phone
(404) 561-3593

Specialties & licenses 1

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

Addresses

Primary practice location

3555 Centerville Hwy
Suite 103
Snellville, GA 30039-6405

Mailing address

3555 Centerville Hwy
Suite 103
Snellville, GA 30039-6405
Phone (404) 561-3593

National Provider Directory

National Provider Directory

Locations

3555 Centerville Hwy
Ste 103
Snellville, GA 30039
Phone (770) 982-5050

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1316087760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 CENTERVILLE HWY",
            "address_2": "SUITE 103",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396405",
            "telephone_number": "404-561-3593",
            "fax_number": "770-985-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CENTERVILLE HWY",
            "address_2": "SUITE 103",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396405",
            "telephone_number": "404-561-3593",
            "fax_number": "770-985-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEQUIP PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-561-3593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.