Organization Active NPI

Choice Care Medical

  • Durable Medical Equipment & Medical Supplies
  • Richmond Hill, GA
National Provider Identifier
1336680065
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHOICE CARE MEDICAL
Practice address
9390 Ford Ave Ste 9
Richmond Hill, GA 31324
Phone
(912) 445-0422
NPI assigned
Mar 14, 2017
Last updated
May 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Reinaldo Wilson
Title
Owner
Phone
(336) 740-0899

Specialties & licenses 1

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

Addresses

Primary practice location

9390 Ford Ave Ste 9
Richmond Hill, GA 31324

Mailing address

9390 Ford Ave Ste 9
Richmond Hill, GA 31324-6420
Phone (912) 445-0422

National Provider Directory

National Provider Directory

Locations

83 Bass Dr
Ste D1
Richmond Hill, GA 31324
Phone (336) 740-0899

9390 Ford Ave
Ste 9
Richmond Hill, GA 31324
Phone (912) 445-0422

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1336680065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE STE 9",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246420",
            "telephone_number": "912-445-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE STE 9",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "31324",
            "telephone_number": "912-445-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE CARE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-740-0899"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.