Mary Lou'S Garden, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARY LOU'S GARDEN, INC.

Practice address

10 S Barnett Shoals Rd
Suite C.
Watkinsville, GA 30677-2500

Phone

(706) 310-7175

Fax

(706) 310-7176

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Jaimee M Dean, RN

Title

Owner

Phone

(706) 310-7175

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mary Lou'S Garden, Inc.

  • Prosthetic/Orthotic Supplier
  • Watkinsville, GA
  • NPI 1205062130

  O20100930045815

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaimee M. Williams, RN

  • Prosthetic/Orthotic Supplier
  • Watkinsville, GA
  • NPI 1922114156
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1376724088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1723",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770034",
            "telephone_number": "706-310-7175",
            "fax_number": "706-310-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S BARNETT SHOALS RD",
            "address_2": "SUITE C.",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772500",
            "telephone_number": "706-310-7175",
            "fax_number": "706-310-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LOU'S GARDEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JAIMEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-310-7175",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "INV-8-06-988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Martin, RBT
• Rose Mary Martin, OTR/L
• Scott A Martin, P.A.
• Taylor Kay Sanderlin Martin
• Mary Lou'S Garden, Inc.
• Taylor Mason
• Jasmin Mata-Sanchez
• Theologia Mataras, BCBA
• Mark Daniel Matheson, RPH
• Anita Mathew, DDS

• Durable Medical Equipment & Medical Supplies in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.