Organization Active NPI

Alpha Medical Equipment & Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
National Provider Identifier
1366549214
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00172092 Issued in GA
Legal business name
ALPHA MEDICAL EQUIPMENT & SUPPLIES, INC
Practice address
1524 Church St
Suite E
Decatur, GA 30030-6500
Phone
(404) 373-8160
Fax
(404) 373-8163
NPI assigned
Sep 20, 2006
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Mrs. Elizabeth C Asika, RNNPI 1851259386
Title
President
Phone
(404) 373-8160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00172092 GA Primary

Addresses

Primary practice location

1524 Church St
Suite E
Decatur, GA 30030-6500

Mailing address

1652 Church Street
Suite a
Decatur, GA 30033-5952
Phone (404) 373-8160

Other identifiers 1

IdentifierTypeStateIssuer
280651022AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092836 GA DME Supplier - Medical Supply Company 7517178049 Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

1524 Church St
Ste E
Decatur, GA 30030
Phone (404) 228-5689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1366549214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 CHURCH STREET",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335952",
            "telephone_number": "404-373-8160",
            "fax_number": "404-373-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 CHURCH ST",
            "address_2": "SUITE E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300306500",
            "telephone_number": "404-373-8160",
            "fax_number": "404-373-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL EQUIPMENT & SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "ASIKA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-373-8160",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "00172092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280651022A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.