Active NPI
Shameka Demps
- Durable Medical Equipment & Medical Supplies
- Conyers, GA
National Provider Identifier
1326831082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- CO131889
- Practice address
- 2068 Eastside Dr Ste 211
Conyers, GA 30013-1957 - Phone
- (770) 870-0708
- NPI assigned
- May 27, 2025
- Last updated
- May 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | CO131889 | GA | Primary |
Addresses
Primary practice location
2068 Eastside Dr Ste 211
Conyers, GA 30013-1957
Mailing address
161 Peachtree Center Ave NE Apt 2612
Atlanta, GA 30303-1960
Phone (770) 870-0708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO131889 | GA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1326831082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 PEACHTREE CENTER AVE NE APT 2612",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303031960",
"telephone_number": "770-870-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2068 EASTSIDE DR STE 211",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131957",
"telephone_number": "770-870-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMPS",
"first_name": "SHAMEKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "CO131889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.