West Georgia Home Medical Equipment Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010402 Issued in GA

Legal business name

WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC

Doing business as

Holmes Pharmacy at Sawmill

Practice address

1861 Roanoke Rd Ste a
Lagrange, GA 30240-3850

Phone

(706) 350-4200

Fax

(706) 350-4220

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Perry Patrick Prather

Title

Owner

Phone

(706) 350-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holmes Pharmacy at Sawmill Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• West Georgia Home Medical Equipment Co Inc

  • Community/Retail Pharmacy
  • Lagrange, GA
  • NPI 1376557678

  O20170418000100

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

West Ga Home Med Equip3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• West Georgia Home Medical Equipment Co Inc

  • Long Term Care Pharmacy
  • Lagrange, GA
  • NPI 1245940782
  NPD tax ID
• West Georgia Home Medical Equipment Co Inc

  • Community/Retail Pharmacy
  • Lagrange, GA
  • NPI 1376557678
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alise Nicole Jeter, PHARMD

  • Pharmacist
  • Lagrange, GA
  • NPI 1851979967
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1326553090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302410017",
            "telephone_number": "706-350-4200",
            "fax_number": "706-350-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 ROANOKE RD STE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403850",
            "telephone_number": "706-350-4200",
            "fax_number": "706-350-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-350-4200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003199976A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmes Pharmacy at Sawmill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holmes Pharmacy at Sawmill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Georgia Family Practice P.C
• West Georgia Health Physicians Inc
• West Georgia Health Physicians Inc
• West Georgia Health System
• West Georgia Home Medical Equipment Co Inc
• West Georgia Home Medical Equipment Co Inc
• West Georgia Medical Center Inc
• West Georgia Medical Center Inc
• West Georgia Medical Center Inc
• West Georgia Medical Center, Inc

• Community/Retail Pharmacy in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.