Active NPI
Duramed Medical Services
- Oxygen Equipment & Supplies (DME)
- Augusta, GA
National Provider Identifier
1417924515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 005962
- Legal business name
- DURAMED MEDICAL SERVICES
- Practice address
- 1543 15 Street
Augusta, GA 30901-3459 - Phone
- (706) 737-0500
- Fax
- (706) 737-6323
- NPI assigned
- Mar 7, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Holgate
- Title
- President
- Phone
- (706) 737-0500
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Customized Equipment (DME) | 332BC3200X | 1003498 | GA | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 005962 | GA | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | C18145 | GA |
Addresses
Primary practice location
1543 15 Street
Augusta, GA 30901-3459
Mailing address
1543 15 Street
Augusta, GA 30901-3459
Phone (706) 737-0500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00289473A | Medicaid | GA | |
| 00289473B | Medicaid | GA | |
| DME045 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Duramed Medical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1942616107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1417924515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 15 STREET",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309013459",
"telephone_number": "706-737-0500",
"fax_number": "706-737-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 15 STREET",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309013459",
"telephone_number": "706-737-0500",
"fax_number": "706-737-6323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURAMED MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HOLGATE",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-737-0500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "GA",
"license": "1003498",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "GA",
"license": "005962",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "GA",
"license": "C18145",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00289473A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00289473B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME045",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.