Eddie Test Medical Equipment Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20006035684 Issued in GA

Legal business name

EDDIE TEST MEDICAL EQUIPMENT INC

Practice address

55 General Cleburne St
Ringgold, GA 30736-2111

Phone

(706) 965-8378

Fax

(706) 965-6672

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Kelli Jordan

Title

Ceo

Phone

(706) 965-8378

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Eddie Test's Home Medical Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1417933631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GENERAL CLEBURNE ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362111",
            "telephone_number": "706-965-8378",
            "fax_number": "706-965-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GENERAL CLEBURNE ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362111",
            "telephone_number": "706-965-8378",
            "fax_number": "706-965-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE TEST MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-965-8378"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20006035684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GA",
            "identifier": "52173688",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "91754",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00358091B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eddie Test's Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joe Doss
• Matthew Tyler Douglas, PT, DPT
• John Robert Draper, GCADC-I
• Susan G. Dudley, N.P.
• Baxter Raymond Easler, LPN
• Jennifer Edwards
• Haley Alicia Egesdahl, PT, DPT
• Elite Rehab and Performance LLC
• Shana B Ellis, CRNP
• En LLC

• Durable Medical Equipment & Medical Supplies in Ringgold, GA
• Providers in Ringgold, 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 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.