Serenity Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SERENITY MEDICAL, LLC

Practice address

1198 Buckhead Xing
Suite B
Woodstock, GA 30189-4257

Phone

(770) 591-0704

Fax

(770) 591-9433

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Kniery

Title

Owner

Phone

(770) 591-0704

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1326017021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 BUCKHEAD XING",
            "address_2": "SUITE B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894257",
            "telephone_number": "770-591-0704",
            "fax_number": "770-591-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 BUCKHEAD XING",
            "address_2": "SUITE B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894257",
            "telephone_number": "770-591-0704",
            "fax_number": "770-591-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "KNIERY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-591-0704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000905198A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Michael Segnere, DMD
• Laura Seipel
• Shawn Sembrat, PHAR
• Cynthia Seney, OTR/L
• Serenity Imaging
• Temitope Michal Seriki, MFT
• Hajiratu Sesay
• Apurva D Shah, M.D.
• Frini Shah, MD
• Shalini Mala Shah, M.D.

• Durable Medical Equipment & Medical Supplies in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.