Organization Active NPI

Compass Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1376648592
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20009402357 Issued in GA
Legal business name
COMPASS HEALTHCARE INC
Practice address
5667 Peachtree Dunwoody Rd NE
Suite 170
Atlanta, GA 30342-1725
Phone
(404) 252-9064
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Daniel K Lane Jr.
Title
VP-Cfo
Phone
(314) 997-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20009402357 GA Primary

Addresses

Primary practice location

5667 Peachtree Dunwoody Rd NE
Suite 170
Atlanta, GA 30342-1725

Mailing address

9301 Dielman Industrial Dr
Saint Louis, MO 63132-2204
Phone (314) 997-8889

Other identifiers 4

IdentifierTypeStateIssuer
56903OtherGANORTHWOOD
C2178OtherGAKAIESER
1023145OtherGAANCILLARY CARE MANAGEMENT
615795OtherGABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5667 Peachtree Dunwoody Rd
Ste 170
Sandy Springs, GA 30342
Phone (404) 252-9064

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1376648592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 DIELMAN INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322204",
            "telephone_number": "314-997-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421725",
            "telephone_number": "404-252-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP-CFO",
        "authorized_official_telephone_number": "314-997-8889",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20009402357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD",
            "identifier": "56903",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAIESER",
            "identifier": "C2178",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCILLARY CARE MANAGEMENT",
            "identifier": "1023145",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "615795",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.