Organization Active NPI

Mari Medical Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Powder Springs, GA
National Provider Identifier
1336301068
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARI MEDICAL CARE LLC
Practice address
3260 New Macland Rd
BLDG 100
Powder Springs, GA 30127-1741
Phone
(678) 401-3943
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Tony Wright
Title
Cfo
Phone
(407) 971-8708

Specialties & licenses 1

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

Addresses

Primary practice location

3260 New Macland Rd
BLDG 100
Powder Springs, GA 30127-1741

Mailing address

3260 New Macland Rd BLDG 100
Powder Springs, GA 30127-1741
Phone (678) 695-8073

Other identifiers 1

IdentifierTypeStateIssuer
003112939AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3260 New Macland Rd
Bldg 100
Powder Springs, GA 30127
Phone (678) 401-3943

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1336301068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NEW MACLAND RD BLDG 100",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271741",
            "telephone_number": "678-695-8073",
            "fax_number": "678-302-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 NEW MACLAND RD",
            "address_2": "BLDG 100",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271741",
            "telephone_number": "678-401-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARI MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-971-8708"
    },
    "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": "003112939A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.