CC Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CC MEDICAL SUPPLY

Practice address

111 Box
Redan, GA 30074-0111

Phone

(770) 482-7755

NPI assigned

Feb 27, 2011

Organization subpart

No

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

Authorized official

Name

Sharian Battle

Title

President

Phone

(678) 913-6375

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1366749335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6266 WINDY RIDGE TRL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586625",
            "telephone_number": "678-913-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BOX",
            "city": "REDAN",
            "state": "GA",
            "postal_code": "300740111",
            "telephone_number": "770-482-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "SHARIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-913-6375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaya Baeza, DNP, PMHNP-BC
• Blessed Hands Private Care
• Sherry Harris

• All providers in Redan, GA
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.