Organization Active NPI

Greenbriar Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • McDonough, GA
National Provider Identifier
1457934010
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GREENBRIAR MEDICAL SUPPLY INC
Practice address
155 Westridge Pkwy Ste 219
McDonough, GA 30253-3052
Phone
(470) 781-1045
NPI assigned
May 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Ms. Shavonda Shenae Hill
Title
Ceo
Phone
(470) 300-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

155 Westridge Pkwy Ste 219
McDonough, GA 30253-3052

Mailing address

155 Westridge Pkwy Ste 219
McDonough, GA 30253-3052
Phone (770) 268-0594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210928000702 GA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 3476950833 Practice locations: McDonough, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Greenbriar Medical Supply Inc155 Westridge Pkwy, McDonough, GA 30253-3052(470) 781-1045 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accesso… Accepts assignmentParticipating since Aug 31, 2021

National Provider Directory

National Provider Directory

Locations

155 Westridge Pkwy
Ste 219
McDonough, GA 30253
Phone (470) 781-1045

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1457934010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 219",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533052",
            "telephone_number": "770-268-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 219",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533052",
            "telephone_number": "470-781-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIAR MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHAVONDA",
        "authorized_official_middle_name": "SHENAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-300-9090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • 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.