Organization Active NPI

Custom Compression Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cumming, GA
National Provider Identifier
1346537230
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CUSTOM COMPRESSION CONSULTANTS, LLC
Practice address
4925 Ashbrooke CT
Cumming, GA 30040-9092
Phone
(770) 886-0383
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Mrs. Tamara L. Malone
Title
Sole Proprietor
Phone
(678) 234-2987

Specialties & licenses 1

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

Addresses

Primary practice location

4925 Ashbrooke CT
Cumming, GA 30040-9092

Mailing address

PO Box 2847
Cumming, GA 30028-6511
Phone (770) 905-7337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1346537230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286511",
            "telephone_number": "770-905-7337",
            "fax_number": "770-886-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 ASHBROOKE CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409092",
            "telephone_number": "770-886-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM COMPRESSION CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "678-234-2987",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.