Active NPI
Alpha Medical Equipment & Supplies, Inc
- Durable Medical Equipment & Medical Supplies
- Decatur, GA
National Provider Identifier
1366549214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 00172092
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth C Asika, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280651022A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930092836 | GA | DME Supplier - Medical Supply Company | 7517178049 | Practice locations: Decatur, GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Home Health Registered Nurse
- Decatur, GA
- NPI 1851259386
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
- Alove Counseling Center
- Steven Alper
- Alpha Hearing & Speech Centers Inc. (Better Hearing Aid Service)
- Alpha Home Care Solutions, Inc.
- Alpha Medical Center LLC
- Alphacare Support Coordination, LLC
- Alpine Transportation
- Alternative Research & Development Services, Inc
- Dana Altman, OT
- Altrus LLC (Dynamic Personal Care Home)
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.