Crisp Medical Equipment LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

2007 001160 Issued in GA

Legal business name

CRISP MEDICAL EQUIPMENT LLC

Practice address

403 4TH Ave
Cordele, GA 31015

Phone

(404) 217-9421

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Roderick Davis McLeod Sr.

Title

Member

Phone

(404) 217-9421

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1467640995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31015",
            "telephone_number": "404-217-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31015",
            "telephone_number": "404-217-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISP MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-217-9421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "2007 001160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisp County Emergency Medical Services
• Crisp County School System
• Crisp General Internal Medicine Inc
• Crisp Home Care
• Crisp Medical and Kidney Care LLC
• Crisp Regional Hospital
• Crisp Regional Hospital
• Crisp Regional Hospital
• Crisp Regional Hospital Inc
• Crisp Regional Hospital Inc

• All providers in Cordele, GA
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.