Powell Medical Equipment LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

POWELL MEDICAL EQUIPMENT LLC

Practice address

550 Pylon Dr
Raleigh, NC 27606-1415

Phone

(919) 615-1531

Fax

(919) 615-1624

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas C Powell VI, ATP

Title

President

Phone

(919) 615-1531

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• POWELL MEDICAL EQUIPMENT Doing business as

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1346323938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PYLON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061415",
            "telephone_number": "919-615-1531",
            "fax_number": "919-615-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PYLON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061415",
            "telephone_number": "919-615-1531",
            "fax_number": "919-615-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-615-1531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "VI",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "045PH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703276",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POWELL MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POWELL MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Mackey Potts, NP
• Shelby Gaile Potts, M.S. CCC-SLP
• Tamera Renee Pou
• Tabasom Pourbeik
• Roxana Pourdeyhimi, MD
• Ashlyn Powell, LCMHCA, CRC
• Benjamin Powell IV, PA-C
• Cali Powell
• Christopher Taylor Powell, DDS
• Danielle Curley Powell, LCSW, LCAS

• Customized Equipment (DME) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.