NPIMap

Organization Active NPI

Maximum Medical SE, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Swainsboro, GA
National Provider Identifier
1467639450
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAXIMUM MEDICAL SE, INC.
Practice address
1044 McGarrh Mill Pond Rd
Swainsboro, GA 30401-4110
Phone
(478) 589-7587
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Billy Daniel Gibson Jr.
Title
Cfo
Phone
(478) 589-7587

Specialties & licenses 1

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

Addresses

Primary practice location

1044 McGarrh Mill Pond Rd
Swainsboro, GA 30401-4110

Mailing address

1044 McGarrh Mill Pond Rd
Swainsboro, GA 30401-4110
Phone (478) 589-7587

National Provider Directory

National Provider Directory

Locations

1044 McGarrh Mill Pond Rd
Swainsboro, GA 30401
Phone (478) 589-7587

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467639450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 MCGARRH MILL POND RD",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014110",
            "telephone_number": "478-589-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 MCGARRH MILL POND RD",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014110",
            "telephone_number": "478-589-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM MEDICAL SE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-589-7587",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.