Organization Active NPI

Poinsett Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Anderson, SC
National Provider Identifier
1316625601
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
POINSETT MEDICAL, INC.
Practice address
2307 N Main St
Anderson, SC 29621-3877
Phone
(864) 631-1633
Fax
(882) 938-1798
NPI assigned
Jul 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Blaine Smith
Title
President
Phone
(864) 631-1633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2307 N Main St
Anderson, SC 29621-3877

Mailing address

179 Verdin Rd
Greenville, SC 29607-5926
Phone (864) 631-1633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117001761 SC DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 0446424311 Practice locations: Anderson, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Poinsett Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2307 N Main St
Anderson, SC 29621
Phone (864) 631-1633

179 Verdin Rd
Greenville, SC 29607
Phone (864) 631-1633

3093 S Highway 14
Ste C
Greer, SC 29650
Phone (864) 631-1633

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1316625601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 VERDIN RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075926",
            "telephone_number": "864-631-1633",
            "fax_number": "888-293-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213877",
            "telephone_number": "864-631-1633",
            "fax_number": "882-938-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINSETT MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-631-1633"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.