Organization Active NPI

Apalachee Medical Supply & Mobility

  • Oxygen Equipment & Supplies (DME)
  • Calhoun, GA
National Provider Identifier
1407035348
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
3532 Issued in GA
Legal business name
APALACHEE MEDICAL SUPPLY & MOBILITY
Practice address
1106 Red Bud Rd NE
Calhoun, GA 30701-9236
Phone
(706) 629-3320
Fax
(706) 629-3320
NPI assigned
Oct 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Mr. Chris M Miller
Title
Ceo
Phone
(678) 374-7999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1835 GA
Oxygen Equipment & Supplies (DME) 332BX2000X 3532 GA Primary

Addresses

Primary practice location

1106 Red Bud Rd NE
Calhoun, GA 30701-9236

Mailing address

PO Box 1314
Monroe, GA 30655-1314
Phone (678) 374-7999

Other identifiers 1

IdentifierTypeStateIssuer
963714326AMedicaidGA

Other names 1

  • Prior Name (North Georgia Medical Equipment and Supplies EIN (26-12089 Former legal business name

National Provider Directory

National Provider Directory

Locations

1106 Red Bud Rd NE
Calhoun, GA 30701
Phone (678) 374-7999

125 Red Bud Rd NE
Ste 5
Calhoun, GA 30701
Phone (706) 629-3320

1023 Lake Oconee Pkwy
Ste A
Eatonton, GA 31024
Phone (678) 374-7999

1550 Highway 138
Ste D
Monroe, GA 30655
Phone (770) 267-0946

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1407035348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1314",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551314",
            "telephone_number": "678-374-7999",
            "fax_number": "866-282-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307019236",
            "telephone_number": "706-629-3320",
            "fax_number": "706-629-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APALACHEE MEDICAL SUPPLY & MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-28",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-374-7999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "1835",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "3532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "963714326A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prior Name (North Georgia Medical Equipment and Supplies EIN (26-12089",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.