Folsom Healthcare Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0402012 Issued in GA

Legal business name

FOLSOM HEALTHCARE INC

Practice address

1204 Hillcrest Pkwy
Dublin, GA 31021-3034

Phone

(478) 274-1900

Fax

(478) 274-9775

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Roger Folsom

Title

Owner

Phone

(478) 274-1900

Specialties & licenses 1

Addresses

Other names 1

• Med1st Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346461019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 HILLCREST PKWY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213034",
            "telephone_number": "478-274-1900",
            "fax_number": "478-274-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 HILLCREST PKWY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213034",
            "telephone_number": "478-274-1900",
            "fax_number": "478-274-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOLSOM",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-274-1900"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "0402012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med1st",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Sheridan Floyd, MSN-RN
• Janice Floyd
• Morgan Danielle Floyd, LPC
• Raymond Floyd, R.PH.
• Serena Fluker, LPC, CADC II
• Rosalind Ford, LPN
• William H. Ford Jr., RPH
• Deborah Ware Fordham, PA-C
• Jackson D Fordham, DMD
• Anita Foreman, RN

• Oxygen Equipment & Supplies (DME) in Dublin, GA
• Providers in Dublin, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.