Active NPI
Diabetic Care Management
- Durable Medical Equipment & Medical Supplies
- Macon, GA
National Provider Identifier
1437460136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DIABETIC CARE MANAGEMENT
- Practice address
- 219 River Hills RDG
Macon, GA 31211-6339 - Phone
- (478) 256-1597
- NPI assigned
- Jun 28, 2010
- 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
- Everett Henderson
- Title
- Representative
- Phone
- (478) 256-1597
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | GA | Primary |
Addresses
Primary practice location
219 River Hills RDG
Macon, GA 31211-6339
Mailing address
PO Box 6705
Macon, GA 31208-6705
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1437460136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6705",
"city": "MACON",
"state": "GA",
"postal_code": "312086705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 RIVER HILLS RDG",
"city": "MACON",
"state": "GA",
"postal_code": "312116339",
"telephone_number": "478-256-1597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETIC CARE MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-28",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "EVERETT",
"authorized_official_title_or_position": "REPRESENTATIVE",
"authorized_official_telephone_number": "478-256-1597"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.