Organization Active NPI

Meadows Healthcare Alliance, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Statesboro, GA
National Provider Identifier
1376009118
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEADOWS HEALTHCARE ALLIANCE, INC.
Practice address
1525 Fair Rd Ste 105
Statesboro, GA 30458-6118
Phone
(912) 243-9103
NPI assigned
Feb 18, 2019
Organization subpart
Yes
Parent organization
MEADOWS REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Johnny Carroll
Title
Avp Post Acute Care
Phone
(912) 537-6930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

1525 Fair Rd Ste 105
Statesboro, GA 30458-6118

Mailing address

1525 Fair Rd Ste 105
Statesboro, GA 30458-6118

Other names 1

  • Alliance Home Medical Doing business as

National Provider Directory

National Provider Directory
Part of
Meadows Dia Ctr of Savan

Locations

1180 Ribaut Rd
Ste 12
Beaufort, SC 29902
Phone (843) 379-1011

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1376009118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 FAIR RD STE 105",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 FAIR RD STE 105",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586118",
            "telephone_number": "912-243-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS HEALTHCARE ALLIANCE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEADOWS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "AVP POST ACUTE CARE",
        "authorized_official_telephone_number": "912-537-6930"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.