Blue Water Medical, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Buford, GA
NPI 1437576568 · NPPES record last updated Nov 10, 2014
Key facts
- NPI
- 1437576568
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BLUE WATER MEDICAL, INC.
- Practice address
- 922 Gainesville Hwy
Suite 112
Buford, GA 30518-1642 - Phone
- (770) 355-5398
- Fax
- (888) 974-6246
- NPI assigned
- Mar 26, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. James Robert Guffin
- Title
- President
- Phone
- (770) 355-5398
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Blue Water Medical Inc |
Ostomy Supplies|Urological Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141003000683 | GA | DME Supplier - Medical Supply Company | 0941420483 | Practice locations: Buford, GA |
National Provider Directory
Locations
922 Gainesville Hwy
Ste 112
Buford, GA 30518
Phone (770) 355-5398
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
922 Gainesville Hwy
Suite 112
Buford, GA 30518-1642
Mailing address
922 Gaineslville Hwy
Suite 112
Buford, GA 30518
Phone (770) 355-5398
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7202360001 | Other | DMERC |
Other providers in Buford, GA
- Jennifer Hauser Bisig
- Maureen Sullivan Bixler
- Jon Lee Blackard
- Abbey Blanchette
- Greta Blankenship
- Valeria F Boazman
- Denisa Ramona Boitos
- Michelle Bolden
- William Kyle Boone
- Alonzo Meisenzahl Borja
All providers in Buford, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.