Organization Active NPI

Hometown Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Americus, GA
National Provider Identifier
1407900509
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HOMETOWN MEDICAL, INC.
Practice address
205 W Lamar St
Americus, GA 31709-3544
Phone
(229) 924-5225
Fax
(229) 924-5006
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mrs. Doris Marie Malcom
Title
President
Phone
(229) 924-5225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

205 W Lamar St
Americus, GA 31709-3544

Mailing address

205 W Lamar St
Americus, GA 31709-3544
Phone (229) 924-5225

Other identifiers 2

IdentifierTypeStateIssuer
000727328BMedicaidGA
000727328AMedicaidGA

National Provider Directory

National Provider Directory

Locations

205 W Lamar St
Americus, GA 31709
Phone (229) 924-5225

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1407900509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093544",
            "telephone_number": "229-924-5225",
            "fax_number": "229-924-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093544",
            "telephone_number": "229-924-5225",
            "fax_number": "229-924-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MALCOM",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-924-5225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000727328B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000727328A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.