Delta Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DELTA MEDICAL EQUIPMENT

Practice address

4039 Gateway Blvd Ste 202
Grovetown, GA 30813-3195

Phone

(706) 361-4589

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Grotz

Title

Owner/Operating Manager

Phone

(443) 845-3725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1336640747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 GATEWAY BLVD STE 202",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133195",
            "telephone_number": "706-361-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "GROTZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATING MANAGER",
        "authorized_official_telephone_number": "443-845-3725"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nawar Daniel, LCSW
• Kaitlyn A Dashiell, DPT
• Cecily R. Davis, LPC
• Omya Davis
• Jennifer Catherine Deal
• Denisa Demian
• Brittney Denton, LCSW
• Jeremiah Detchemendy, RPH
• Dewey Galeas PC
• Cynthia S Ditslear, D.D.S

• Durable Medical Equipment & Medical Supplies in Grovetown, GA
• Providers in Grovetown, 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 Feb 22, 2018; 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.