My Ideal Care, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MY IDEAL CARE, LLC

Practice address

218 W Jackson St
Thomasville, GA 31792-5491

Phone

(229) 236-0197

Fax

(229) 255-2930

NPI assigned

Jan 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Adrian Paul Davis

Title

Owner

Phone

(229) 236-0197

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1346545274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925491",
            "telephone_number": "229-236-0197",
            "fax_number": "229-255-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925491",
            "telephone_number": "229-236-0197",
            "fax_number": "229-255-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY IDEAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-236-0197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH REGION",
            "identifier": "1346545274",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129741",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jason Murphy
• Richard W Murphy Jr., MD
• Lauren Powell Musgrove, PA-C
• Jasmine Mutti, MD
• My Ideal Care, LLC
• My Ideal Care, LLC
• Priscilla Myers
• Myeyedr Optometry of Georgia, LLC
• Myeyedr Optometry of Georgia, LLC
• Myeyedr Optometry of Georgia, LLC

• Durable Medical Equipment & Medical Supplies in Thomasville, GA
• Providers in Thomasville, 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 Jul 26, 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.