Squad Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SQUAD MEDICAL SUPPLY LLC

Practice address

105 Commerce Dr Ste C
Fayetteville, GA 30214-7352

Phone

(678) 519-0842

NPI assigned

Jul 1, 2024

Last updated

Nov 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Smith

Title

Owner

Phone

(404) 442-2019

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1477399319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 BUCKINGHAM DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302136479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COMMERCE DR STE C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147352",
            "telephone_number": "678-519-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUAD MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-442-2019"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Scott Spears, PHD
• Speech Assessment Center, Inc.
• Angela Christine Spencer, BCBA
• Spinealign PC
• Antonia Spradley, RBT
• Nicole L Sroka, M.D.
• Amanda St Germain
• St. Andrew's E.M.S., Inc.
• St. Christophers Private Homecare Agency
• Tracey Lynn St. Julian, MD

• Durable Medical Equipment & Medical Supplies in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.