Organization Active NPI

Soulful Care Medical Solutions

  • Durable Medical Equipment & Medical Supplies
  • McDonough, GA
National Provider Identifier
1366320111
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOULFUL CARE MEDICAL SOLUTIONS
Practice address
908E Pavilion CT
McDonough, GA 30253-6665
Phone
(770) 703-0097
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Vashani Auguste, MEMBER
Title
Owner
Phone
(770) 703-0097

Specialties & licenses 1

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

Addresses

Primary practice location

908E Pavilion CT
McDonough, GA 30253-6665

Mailing address

908E Pavilion CT
McDonough, GA 30253-6665
Phone (770) 703-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260114003847 GA DME Supplier - Medical Supply Company 6406332998 Practice locations: McDonough, GA

National Provider Directory

National Provider Directory

Locations

908 Pavilion Ct
McDonough, GA 30253
Phone (678) 432-4621

908 Pavilion Ct
Ste E
McDonough, GA 30253
Phone (470) 567-0094

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1366320111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908E PAVILION CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536665",
            "telephone_number": "770-703-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908E PAVILION CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536665",
            "telephone_number": "770-703-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL CARE MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "AUGUSTE",
        "authorized_official_first_name": "VASHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-703-0097",
        "authorized_official_credential": "MEMBER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.